ASC Billing Manager

ASC Billing Manager – Jax Spine and Pain Centers

The ASC (Ambulatory Surgery Center) Billing Manager will be responsible for managing the full revenue cycle operations for an ambulatory surgery center, ensuring accurate billing, coding, collections, compliance, and reimbursement from payers. This role combines financial oversight, regulatory compliance, and team leadership to safeguard the center’s financial performance.

• Oversee end-to-end billing processes: charge entry, coding, claim submission, payment posting, denials, appeals, and collections.
• Ensure accurate CPT, HCPCS, and ICD-10 coding for surgical procedures and anesthesia.
• Monitor AR aging and maintain key performance metrics (DSO, clean claim rate, denial rate).

• Ensure billing practices comply with CMS, HIPAA, Medicare, Medicaid, and payer‑specific guidelines.
• Maintain knowledge of ASC reimbursement rules, fee schedules, and billing modifiers.
• Prepare and respond to payer audits.

• Supervise and assign workloads, monitor productivity, and handle performance evaluations.
• Ensure that staff are trained accordingly.

• Collaborate with payers to resolve claim disputes or update reimbursement rates.
• Support contract negotiations by providing reimbursement trends and financial data.

• Provide regular revenue reports, payer mix analyses, denial trends, and cash‑flow projections.
• Work with the Director of Revenue Cycle Management to support budgeting and financial planning.

• Oversee patient billing statements, handle escalated billing‑related inquiries.
• Ensure compliance with balance billing and financial hardship policies.

• Bachelor’s degree preferred.
• Experience in ASC billing or surgical billing required.
• Minimum five years of experience in a Central Billing Office (CBO)/medical office setting, highly preferred (e.g., ambulatory surgery center, hospital, doctor’s office).
• Management/supervisory experience necessary.
• Strong knowledge of CPT, ICD‑10, HCPCS, and modifier use.
• Familiarity with Medicare’s ASC Payment System (APC), OPPS.
• Excellent understanding of revenue cycle KPIs and ASC‑specific regulations.
• Leadership, training, and team development experience.

About Jax Spine & Pain Centers:
We are proud to be the leading providers of progressive interventional pain relief. Our team of board‑certified physicians and medical staff are highly trained in all areas of diagnosis, treatment, and patient care. We are the leading interventional pain management specialists in Northeast Florida, offering superior solutions to treat acute and chronic pain.