ASC Billing and Denial Specialist - Revo Health chez Revo Health

The Billing 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 M-F from 8:30 am - 4:00 pm and will be based out of our Corporate Office in Bloomington, MN.

Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.

Key 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.

Education & Experience:

• High School Diploma or GED required.
• Prior experience in health insurance billing is essential.

Benefits & Compensation:  

• Actual starting pay will vary based on education, skills, and experience.
• We offer a comprehensive Medical, Dental & Vision Plan, Maternity Bundle, 401K with Profit Sharing, Tuition Reimbursement, Gym & Car Rental Discounts - to learn more click here.

Essential Qualifications:

• Adhere to company policies, procedures, and ethical standards.
• Complete required training and comply with applicable laws and regulations (e.g., HIPAA, OSHA).
• Demonstrate reliable attendance and punctuality.
• Work onsite during business hours and travel independently within the clinic, office, or surgery center.
• Perform physical tasks such as bending, lifting, standing, and sitting for extended periods.
• Manage workload efficiently, handle interruptions, and meet deadlines.
• Communicate professionally and respectfully with patients, team members, and leadership.
• Prioritize tasks and adapt to changing operational needs.
• Apply logical reasoning to solve problems and follow instructions effectively.
• Operate office equipment and phone systems proficiently.
• Work independently with minimal supervision.
• Travel to other work locations as needed.

Core Values & Performance Expectations (Revo Health):

• Integrity: Act responsibly and ethically in all interactions.
• Service: Deliver exceptional experiences consistently.
• Quality: Strive for excellence through purposeful and skillful execution.
• Innovation: Seek out and implement progressive solutions.
• Teamwork: Collaborate positively and support team success. 

Work Environment:

• Office-based setting, hybrid

Additional Information:

• Revo Health is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.
• We participate in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here:  http://www.uscis.gov/e-verify/employees
• This position description will be reviewed periodically as duties and responsibilities change. Essential and Additional Job Functions are subject to modification.