ASC Reimbursement & Managed Care Specialist

Addison Group; Edmond (OK); On-site; USD 34,000 - 48,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Job summary

Addison Group is hiring for our client, an established healthcare management organization supporting 14 Ambulatory Surgery Centers (ASCs) nationwide. This role focuses on ASC/outpatient surgery reimbursement, collections, and payer follow-up onsite in Edmond, OK.

You will expand into managed care, payer contracting, credentialing, enrollment, and fee schedule management while training on many aspects of the position.

Qualifications

• 2–3+ years in healthcare Revenue Cycle
• Experience with ASC/outpatient surgery reimbursement is preferred
• Ability to read and understand payer contracts
• Comfortable communicating directly with insurance payers

Responsibilities

• Research denied, underpaid, and incorrectly reimbursed claims
• Determine expected reimbursement using payer contracts and fee schedules
• Identify root causes of payment discrepancies and work through resolution
• Communicate with insurance carriers and navigate payer/provider portals
• Review payer contracts and reimbursement terms
• Assist with commercial payer, Medicare, and Medicaid enrollment
• Support credentialing and recredentialing
• Maintain payer contracts and fee schedules across multiple ASCs
• Ensure updated fee schedules are loaded into billing systems
• Assist with managed care contracting and bundled payment programs
• Troubleshoot payer and Revenue Cycle issues as they arise
• Use Excel for tracking, analysis, and operational support

Skills

Revenue Cycle

Analytical skills

Payer contracts

Communication with payers

Tools

Excel

Job description

Addison Group is hiring for our client, an established healthcare management organization supporting 14 Ambulatory Surgery Centers (ASCs) nationwide. This role focuses on ASC/outpatient surgery reimbursement, collections, and payer follow-up onsite in Edmond, OK.

You will expand into managed care, payer contracting, credentialing, enrollment, and fee schedule management while training on many aspects of the position.