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Revo Health · 1 day ago

ASC Billing & Denial Specialist - Revo Health

Bloomington, MN

Full-time

Hybrid

New Grad, Entry Level

Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. The Billing & Denial Specialist is responsible for managing all aspects of accounts receivable billing for Ambulatory Surgical Centers, ensuring accurate claim processing and effective communication with patients and insurance providers.

Health CareOutsourcingWellness

Responsibilities

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 refile 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 that were 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

Qualification

Health insurance billingCPT codingICD-10 codingClaim processingDenial managementCommunication skillsProblem-solvingTime management

Required

High School Diploma or GED required

Prior experience in health insurance billing is essential

Adhere to company policies, procedures, and ethical standards

Complete required training and comply with applicable laws and regulations (e.g., HIPAA, OSHA)

Demonstrate reliable attendance and punctuality

Work onsite during business hours and travel independently within the clinic, office, or surgery center

Perform physical tasks such as bending, lifting, standing, and sitting for extended periods

Manage workload efficiently, handle interruptions, and meet deadlines

Communicate professionally and respectfully with patients, team members, and leadership

Prioritize tasks and adapt to changing operational needs

Apply logical reasoning to solve problems and follow instructions effectively

Operate office equipment and phone systems proficiently

Work independently with minimal supervision

Travel to other work locations as needed

Ability to comply with company policies, procedures, practices, and business ethics guidelines

Ability to comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.)

Demonstrate prompt and reliable attendance

Work at an efficient and productive pace, handle interruptions appropriately, and meet deadlines. Prioritize workload effectively

Communicate respectfully and professionally in face-to-face, phone and email interactions

Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions

Benefits

Employees working 30+ hours per week (60 hours per pay period) are eligible for our Medical (w/Maternity Bundle), Dental & Vision plans, as well as Tuition Reimbursement.

All employees, regardless of hours, are eligible for 401(k) w/ Profit Sharing, Employee Assistance Program, Lifetime Fitness Subsidy, Car Rental discounts, Home, Auto, & Pet insurance savings programs & more.