Revenue Specialist
Salem Health Hospitals & Clinics, Dallas, TX, United States
The Revenue Cycle Specialist is responsible for managing and optimizing all aspects of the revenue cycle for the Ambulatory Surgery Center (ASC), including charge capture, billing, collections, payment posting, and denial management. This role ensures accurate and timely reimbursement while maintaining compliance with regulatory requirements and payer guidelines.
Key Responsibilities
Review and validate charges to ensure accuracy and completeness prior to claim submission
Submit claims electronically and/or via paper in a timely manner
Monitor accounts receivable and follow up on outstanding claims with insurance payers
Investigate and resolve claim denials, rejections, and payment discrepancies
Post payments, adjustments, and reconcile daily deposits
Communicate with patients regarding billing inquiries and payment arrangements
Ensure compliance with federal, state, and payer-specific billing regulations
Collaborate with clinical and administrative staff at the ASC to resolve billing issues
Assist in reporting and analyzing revenue cycle performance metrics
Qualifications
Experience with denial management and appeals processes
High school diploma or equivalent required
Minimum of 2–3 years of experience in medical billing, preferably in an ambulatory surgery center or surgical setting
Strong knowledge of CPT, ICD-10, and HCPCS coding
Knowledge of ASC-specific billing rules, Medicare, and Medicaid reimbursement processes
Strong attention to detail and problem-solving skills
Excellent communication and customer service skills
Ability to manage multiple tasks and meet deadlines in a fast-paced environment
Benefits
Competitive salary
Health, dental, and vision insurance
Paid time off (PTO)
Retirement plan (401k)
Bonus program
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Key Responsibilities
Review and validate charges to ensure accuracy and completeness prior to claim submission
Submit claims electronically and/or via paper in a timely manner
Monitor accounts receivable and follow up on outstanding claims with insurance payers
Investigate and resolve claim denials, rejections, and payment discrepancies
Post payments, adjustments, and reconcile daily deposits
Communicate with patients regarding billing inquiries and payment arrangements
Ensure compliance with federal, state, and payer-specific billing regulations
Collaborate with clinical and administrative staff at the ASC to resolve billing issues
Assist in reporting and analyzing revenue cycle performance metrics
Qualifications
Experience with denial management and appeals processes
High school diploma or equivalent required
Minimum of 2–3 years of experience in medical billing, preferably in an ambulatory surgery center or surgical setting
Strong knowledge of CPT, ICD-10, and HCPCS coding
Knowledge of ASC-specific billing rules, Medicare, and Medicaid reimbursement processes
Strong attention to detail and problem-solving skills
Excellent communication and customer service skills
Ability to manage multiple tasks and meet deadlines in a fast-paced environment
Benefits
Competitive salary
Health, dental, and vision insurance
Paid time off (PTO)
Retirement plan (401k)
Bonus program
#J-18808-Ljbffr