ASC Billing & Denial Specialist - Revo Health

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.

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

Skills

• 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.

Company Overview