ASC Billing and Denial Specialist - 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 clickhere.

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.