Responsible for managing all aspects of accounts receivable billing for ambulatory surgical centers (ASC). This role ensures accurate claim processing, timely follow-up, and effective communication with patients, insurance providers, and internal teams.
This is a full-time position working Monday through Friday, 7:30 AM to 4:00 PM. The role offers a hybrid arrangement out of Bloomington and may become fully remote after training is completed.
Revo Health partners with multiple healthcare groups to deliver exceptional patient care. This position is employed by Revo Health and works closely with Infinite Health Collaborative (i-Health) and its operating divisions.
Essential Job Functions
- 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 such as 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
Education and Experience
- High school diploma or GED required
- Prior experience in health insurance billing is essential
Essential Requirements
- Ability to comply with company policies, procedures, practices, and business ethics guidelines
- Ability to comply with applicable laws and regulations, including HIPAA, Stark, OSHA, and employment laws
- Ability to demonstrate prompt and reliable attendance
- Ability to work at an efficient and productive pace, handle interruptions appropriately, meet deadlines, and prioritize workload effectively
- Ability to communicate respectfully and professionally in face-to-face, phone, and email interactions
- Ability to apply principles of logical thinking to define problems, establish facts, and draw valid conclusions
- Ability to sit for extended periods, use hands and fingers frequently, and lift office supplies or files up to 20 pounds
Benefits & Compensation
- Comprehensive benefits package
- Medical, dental, and vision plans for employees working 30+ hours per week
- Tuition reimbursement for eligible employees
- 401(k) profit sharing
- Employee Assistance Program
- Lifetime Fitness subsidy
- Car rental discounts
- Home, auto, and pet insurance savings programs
Location
Minnesota, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
Yes
Posted
2 weeks ago