ASC Billing & Denial Specialist - Revo Health

Revo Health•Bloomington, MN

5d•Hybrid

About The Position

The Billing & Denial Specialist is responsible for managing all aspects of accounts receivable billing for Ambulatory Surgical Centers (ASC). This role ensures accurate claim processing, timely follow-up, and effective communication with patients, insurance providers, and internal teams. This is a full-time position working Monday - Friday 7:30 AM - 4:00 PM. Opportunity for hybrid, out of Bloomington, to fully remote after training is completed. Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed by Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.

Requirements

High School Diploma or GED required.
Prior experience in health insurance billing is essential.
Ability to sit for extended periods (up to 8 or more hours per day).
Frequent use of hands and fingers for typing, writing, and handling documents.
Occasional standing, walking, bending, or reaching within the office environment.
Ability to lift and carry office supplies or files weighing up to 20 pounds.
Visual acuity to read electronic and paper documents.
Auditory ability to participate in phone or video calls clearly.
Manual dexterity to operate standard office equipment (e.g., computer, phone, printer).
Ability to comply with company policies, procedures, practices, and business ethics guidelines.
Ability to comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.).
Demonstrate prompt and reliable attendance.
Work at an efficient and productive pace, handle interruptions appropriately, and meet deadlines.
Prioritize workload effectively.
Communicate respectfully and professionally in face-to-face, phone and email interactions.
Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions.

Responsibilities

Serve as the primary point of contact for patient and insurance inquiries related to receivables.
Monitor and take timely action on claims in the PMHST workflow queue.
Build and maintain collaborative relationships with ASC teams and affiliated physician groups.
Review and refile rejected claims as necessary.
Identify and resolve claim rejections using clearinghouse tools (Waystar and PMHST).
Manage insurance denials through the workflow queue and denial management processes.
Conduct follow-up on unprocessed insurance claims.
Prepare and submit appeals for services that were not processed correctly.
Review aging reports with leadership to determine next steps for unresolved claims.
Communicate payer updates to leadership and team members.
Maintain working knowledge of CPT and ICD-10 coding guidelines.
Perform other duties as assigned.