Medical Billing Specialist (TCO Surgery Centers) - Revo Health

The Medical Billing Specialist performs all functions as it relates to the billing and collections of accounts receivables for the billing for the Ambulatory Surgery Centers (ASC) for Twin Cities Orthopedics.

This position will do training at the Golden Valley Business Center and then be fully remote.

A $1,500 sign-on bonus will be offered, payable on first paycheck with a 12-month commitment. Internal applicants are not eligible for sign-on bonus.

Essential Functions :

Perform all daily functions as it relates to full accounts receivable management. Essential tasks include (but not limited to) :

• Primary contact for all incoming receivable questions from both patients and insurances.
• Download and format SC Charge Entry Sheets using current software systems (Allscripts and Amkai)
• Responsible for timely action to claims populating the RCM queue in Amkai.
• Build relationships with ASC teams and supporting physician groups.
• Entry of Excel charges into Amkai and electronic billing of claims
• Work rejected claims and refile as needed.
• Identify and work rejects using clearinghouse (Waystar and PMS - Amkai)
• Work denials through RCM queue within PMS and Waystar
• Filing of interventions.
• Insurance follow-up on unprocessed claims. Appeals completed for services not processed appropriately.
• Provide estimates to patients for services performed at the ASC.
• Any and all other duties as assigned

Education and Experience Requirements :

Essential Requirements :

Ability to :

Performance Expectations - Revo Health's Core Values :

Environmental Conditions :

Notes