ASC Billing & Denial Specialist - Revo Health

Billing & Denial Specialist

The Billing & Denial Specialist is 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 7:30am-4:00pm. Opportunity for hybrid to fully remote after training is completed.

Revo Health is a professional services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed by Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.

• 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.

Education & Experience:

• High School Diploma or GED required.
• Prior experience in health insurance billing is essential.

Skills & Abilities:

• 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.

• Actual starting pay will vary based on education, skills, and experience.
• We offer a comprehensive benefits package – to learn more .
• 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.

• Ability to sit for extended periods (up to 8 or more hours per day).
• Frequent use of hands and fingers for typing, writing, and handling documents.
• Occasional standing, walking, bending, or reaching within the office environment.
• Ability to lift and carry office supplies or files weighing up to 20 pounds.
• Visual acuity to read electronic and paper documents.
• Auditory ability to participate in phone or video calls clearly.
• Manual dexterity to operate standard office equipment (e.g., computer, phone, printer).

• Office or Hybrid/Remote

• Comply with company policies, procedures, practices, and business ethics guidelines.
• 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…