Hybrid ASC Billing & Denials Specialist

i-Health/Revo; Bloomington (IN); Hybride; USD 27 000 - 41 000; Plein temps

Avantages offerts par ce poste

Medical, Dental & Vision

401(k) Profit Sharing

Tuition Reimbursement

Life Insurance Subsidy

Résumé du poste

Revo Health is seeking a Billing & Denial Specialist to manage all aspects of accounts receivable billing for ambulatory surgical centers. You will ensure accurate claim processing, timely follow-up, and clear communication with patients, providers, and internal teams.

This full-time hybrid role offers standing weekday hours with potential for remote work after training. Prior health insurance billing experience and CPT/ICD-10 knowledge are essential for success.

Qualifications

• High School Diploma or GED required.
• Prior experience in health insurance billing is essential.
• Knowledge of CPT and ICD-10 coding guidelines.

Responsabilités

• 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 refil 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 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.

Connaissances

Healthcare billing

Formation

High School Diploma or GED

Outils

Waystar

PMHST

Description du poste

Revo Health is seeking a Billing & Denial Specialist to manage all aspects of accounts receivable billing for ambulatory surgical centers. You will ensure accurate claim processing, timely follow-up, and clear communication with patients, providers, and internal teams.

This full-time hybrid role offers standing weekday hours with potential for remote work after training. Prior health insurance billing experience and CPT/ICD-10 knowledge are essential for success.