Medical Billing Specialist (TCO Surgery Centers) - Revo Health

iHealth; Golden Valley (MN); Remote; USD 40,000 - 60,000; Full time

Job summary

An innovative healthcare organization is seeking a dedicated Medical Billing Specialist to manage billing and collections for Ambulatory Surgery Centers. This role involves engaging with patients and insurance companies, ensuring timely processing of claims, and maintaining accurate records. The position offers the flexibility of remote work after training, along with a generous sign-on bonus. Join a forward-thinking team committed to delivering exceptional patient care and improving service efficiency. If you're detail-oriented and passionate about healthcare billing, this opportunity is perfect for you.

Benefits

Sign-on bonus

Flexible work hours

Remote work option after training

Qualifications

• Experience in health insurance billing is required.
• High School diploma or equivalent is mandatory.

Responsibilities

• Manage accounts receivable for Ambulatory Surgery Centers.
• Communicate with patients and insurances regarding receivables.
• Process claims and handle rejections efficiently.

Skills

Health insurance billing experience

Excel proficiency

Communication skills

Problem-solving skills

Education

High School diploma/GED

Tools

Allscripts

Amkai

Waystar

Job description

The Medical Billing Specialist performs all functions related to the billing and collections of accounts receivables for the Ambulatory Surgery Centers (ASC) for Twin Cities Orthopedics.

This position will do training at the Golden Valley Business Center and then be fully remote.

A $1,500 sign-on bonus will be offered, payable on the first paycheck with a 12-month commitment. Internal applicants are not eligible for the sign-on bonus.

Essential Functions:

Perform all daily functions related to full accounts receivable management. Essential tasks include (but are not limited to):

• Primary contact for all incoming receivable questions from patients and insurances.
• Download and format SC Charge Entry Sheets using current software systems (Allscripts and Amkai).
• Responsible for timely action to claims in the RCM queue in Amkai.
• Build relationships with ASC teams and supporting physician groups.
• Enter Excel charges into Amkai and electronically bill claims.
• Work rejected claims and refile as needed.
• Identify and work rejects using clearinghouse (Waystar and PMS - Amkai).
• Work denials through RCM queue within PMS and Waystar.
• File interventions.
• Follow up on unprocessed claims; complete appeals for improperly processed services.
• Provide estimates to patients for services performed at the ASC.
• Any other duties as assigned.

Education and Experience Requirements:

• High School diploma/GED or equivalent.
• Health insurance billing experience required.

Essential Requirements:

Ability to:

• Comply with company policies, procedures, practices, and ethics guidelines.
• Complete required training.
• Follow all applicable laws and regulations (e.g., HIPAA, Stark, OSHA, employment laws).
• Work in the office during business hours.
• Travel independently within the office; may include movement between floors; may require bending, lifting, sitting for long periods.
• Work efficiently, handle interruptions, and meet deadlines.
• Communicate professionally and respectfully.
• Prioritize workload and be flexible.
• Apply logical thinking to define problems and draw conclusions.
• Understand and follow instructions.
• Operate equipment and communicate via phone system.
• Work independently with minimal supervision.
• Travel to other work locations if required.

Performance Expectations - Revo Health's Core Values:

• Integrity - Do the right thing and take responsibility.
• Service - Deliver an exceptional experience.
• Quality - Exceed expectations through effort and skillful execution.
• Innovation - Find solutions to improve service and efficiency.
• Teamwork - Support each other positively.

Environmental Conditions:

• Office setting.

Notes:

• Revo Health partners with healthcare groups to deliver patient care. This position is employed through Revo Health, working with Infinite Health Collaborative (i-Health).
• Revo Health is an Equal Opportunity/Affirmative Action Employer and complies with ADA laws.
• This position description is subject to periodic review and modification.