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.

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:

• High School diploma/GED or equivalent
• Health insurance billing experience required

Essential Requirements:

Ability to:

• Comply with company policies, procedures, practices and business ethics guidelines.
• Complete job required training.
• Comply with all applicable laws and regulations, (e.g. HIPAA, Stark, OSHA, employment laws, etc.)
• Work in the office during business hours
• Travel independently throughout the office (which may include movement from floor to floor); frequent bending, lifting, stooping or sitting for long periods of time may be required
• Work at an efficient and productive pace, handle interruptions appropriately and meet deadlines
• Communicate and interact in a respectful and professional manner
• Prioritize workload while being flexible to meet the expectations of the daily operations
• Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions
• Understand and execute a variety of instructions
• Effectively operate equipment and communicate on and operate the phone system
• Work independently with minimal supervision
• Travel to other work locations, if required

Performance Expectations - Revo Health's Core Values:

• Integrity - Do the right thing and take responsibility for what you do and say
• Service - Consistently contribute to deliver an exceptional experience
• Quality - Act with high purpose, committed effort, and skillful execution to exceed expectations
• Innovation - Identify progressive solutions that improve service, teamwork, efficiency, and/or effectiveness
• Teamwork - Be a part of the whole; support each other positively

Environmental Conditions:

• Office setting

Notes

• Revo Health is a management services company that partners with multiple healthcare groups to deliver exceptional patient care. This position will be employed through Revo Health, working closely with Infinite Health Collaborative (i-Health) and its operating divisions.
• Revo Health is an Equal Opportunity/Affirmative Action Employer and will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008.
• This position description will be reviewed periodically as duties and responsibilities change. Essential and Additional Job Functions are subject to modification.