ASC Revenue Specialist - Billing & Claims Expert

Osmc; Elkhart (IN); On-site; USD 42,000 - 62,000; Full time

Job summary

OSMC in Elkhart, IN is seeking an ASC Revenue Specialist to handle patient billing, charge entry, payment posting, and claims follow-up across two surgery center locations.

The role focuses on timely reimbursement, accurate data entry, HIPAA compliance, and delivering excellent customer service to patients, insurance carriers, and internal staff.

Candidates should be detail-oriented, organized, and able to multitask in a fast-paced environment while maintaining confidentiality.

Qualifications

• Reliable background in medical billing, revenue cycle, or healthcare office operations.
• Attention to detail and problem-solving abilities are essential.
• Strong computer skills, familiarity with electronic medical records, and timely data handling.
• Excellent customer service, communication, and organizational skills.

Responsibilities

• Handle incoming patient inquiries and respond to insurance company questions.
• Assist in identifying and resolving patient billing concerns and account discrepancies.
• Ensure appropriate collection of copayments, prepayments, deductibles, and self-pay balances.
• Monitor patient accounts and assist with payment arrangements as needed.
• Review, code, process, and submit insurance claims accurately and timely.
• Research and follow up on outstanding insurance claims to secure reimbursement.
• Enter surgical charges and verify accuracy of insurance and patient information.
• Correct claim errors and facilitate submission of clean claims.
• Post incoming insurance and patient payments accurately and promptly.
• Prepare claims for rebilling, reconsideration, or appeal when necessary.
• Appeal payment denials, underpayments, and incorrect insurance adjustments.
• Verify and process patient and insurance refunds.
• Gather and provide medical records for patients, insurance companies, attorneys, and courts as authorized.
• Respond to internal billing inquiries through telephone and email communication.
• Maintain strict patient confidentiality in accordance with HIPAA regulations.
• Perform other related duties as assigned.

Skills

Medical billing

Revenue cycle

Healthcare office experience

Education

High school diploma or equivalent

Tools

EMR/EHR

Job description

OSMC in Elkhart, IN is seeking an ASC Revenue Specialist to handle patient billing, charge entry, payment posting, and claims follow-up across two surgery center locations.

The role focuses on timely reimbursement, accurate data entry, HIPAA compliance, and delivering excellent customer service to patients, insurance carriers, and internal staff.

Candidates should be detail-oriented, organized, and able to multitask in a fast-paced environment while maintaining confidentiality.