Senior ASC RCM Specialist – Denials & Reimbursement

Jax Spine & Pain Centers; Jacksonville (FL); Hybrid; USD 75,000 - 105,000; Full time

Benefits offered by this job

Hybrid work model

Job summary

Centurion Surgery Center - Jacksonville is seeking a Senior ASC Revenue Cycle Specialist to lead advanced revenue cycle operations for the ASC, with a primary focus on accounts receivable, denial management, reimbursement optimization, and revenue integrity.

This role works independently while collaborating with leadership and other revenue cycle team members to maximize reimbursement, improve operational efficiency, and ensure compliance with payer requirements.

Qualifications

• Five or more years of progressive medical revenue cycle experience.
• Extensive experience with insurance follow-up, denials, appeals, and accounts receivable.
• End-to-end revenue cycle knowledge including eligibility, claim submission, payment posting, reimbursement, and collections.
• Experience with commercial, Medicare, Medicaid, Workers' Compensation, and other government payers preferred.
• Ambulatory Surgery Center experience preferred.

Responsibilities

• Manage complex insurance accounts receivable across all payer types.
• Investigate and resolve denied, underpaid, and outstanding claims.
• Analyze EOBs and remittance advice to ensure accurate reimbursement.
• Identify reimbursement discrepancies and recommend appropriate account corrections.
• Work timely filing, high-dollar, aging, and specialty work queues based on departmental priorities.
• Investigate and resolve payer denials using payer guidelines and contract knowledge.
• Prepare and submit appeals and supporting documentation.
• Identify denial trends and recommend corrective actions.
• Collaborate with coding, authorization, and clinical staff to prevent recurring denials.
• Monitor appeal outcomes and identify opportunities for reimbursement improvement.
• Review reimbursement accuracy and contractual payment variances.
• Assist with payment variance research and revenue recovery opportunities.
• Identify payer processing issues affecting reimbursement.
• Ensure accounts accurately reflect contractual adjustments and patient responsibility.
• Assist leadership in developing and documenting standardized revenue cycle workflows.
• Create reference materials and process documentation as workflows evolve.
• Recommend operational improvements that increase efficiency and reduce rework.
• Participate in implementation of new revenue cycle initiatives and system enhancements.
• Analyze accounts receivable to identify reimbursement trends and operational opportunities.
• Assist leadership with KPI monitoring and revenue cycle reporting.
• Recommend priority work queues based on reimbursement impact.
• Report findings and opportunities to Revenue Cycle leadership.

Skills

Accounts receivable

Denials management

Revenue cycle

Insurance follow-up

ASCs experience

Education

Associate's degree

Tools

Waystar

Practice management systems

Job description

Centurion Surgery Center - Jacksonville is seeking a Senior ASC Revenue Cycle Specialist to lead advanced revenue cycle operations for the ASC, with a primary focus on accounts receivable, denial management, reimbursement optimization, and revenue integrity.

This role works independently while collaborating with leadership and other revenue cycle team members to maximize reimbursement, improve operational efficiency, and ensure compliance with payer requirements.