Healthcare Billing Specialist – ASC Billing

• Manage full-cycle Ambulatory Surgery Center (ASC) billing, including claims preparation, submission, tracking, follow-ups, denials, appeals, and reimbursement resolution
• Prepare, review, and submit claims for outpatient surgical procedures
• Apply ASC-specific CPT/HCPCS codes, modifiers, and billing guidelines
• Verify procedure information, modifiers, and supporting documentation
• Navigate Medicare, Medicaid, and commercial insurance billing requirements
• Investigate rejected, denied, underpaid, or unpaid surgical claims
• Process corrected claims, reconsiderations, and appeals
• Manage accounts receivable and follow up on outstanding ASC claims
• Verify patient insurance eligibility, coverage, and benefits
• Coordinate with insurance representatives and internal teams
• Meet the daily productivity target of 45 claim follow-ups
• Upload, track, organize, and maintain Explanation of Benefits (EOBs)
• Maintain accurate claims records
• Assist with home health billing and revenue cycle management
• Review and process Notices of Admission (NOAs)
• Utilize ALORA for billing, documentation, and claim tracking when applicable
• Prepare billing reports, spreadsheets, claims trackers, and documentation
• Provide administrative, executive, and operational support
• Support workflow improvements
• Answer inbound and outbound calls using Nextiva VoIP
• Respond to patient inquiries and provide receptionist-level support
• Communicate with patients, insurance representatives, and internal staff
• Maintain patient confidentiality and HIPAA compliance

• Proven hands-on experience in U.S. Ambulatory Surgery Center (ASC) billing
• Strong understanding of ASC billing workflows, outpatient surgical claims, and revenue cycle management
• Experience preparing, submitting, tracking, and following up on ASC claims
• Working knowledge of CPT, HCPCS, ICD-10, and ASC-related modifiers
• Familiarity with Medicare and commercial insurance billing requirements for outpatient surgical procedures
• Experience managing denied, rejected, underpaid, and unpaid medical claims
• Hands-on experience with accounts receivable, insurance follow-ups, claim corrections, and appeals
• Ability to identify billing discrepancies, coding-related errors, missing documentation, and reimbursement issues
• Experience verifying insurance eligibility, coverage, and benefits
• Familiarity with EOBs, payment discrepancies, and claims tracking
• Ability to maintain accurate records and meet daily productivity targets
• Strong understanding of payer-specific billing requirements and reimbursement guidelines
• Excellent attention to detail, analytical thinking, and problem-solving skills
• Strong organizational and multitasking abilities
• Excellent written and verbal English communication skills
• Ability to work independently, manage competing priorities, and adapt to changing workflows
• Knowledge of HIPAA compliance and patient confidentiality requirements
• Must be proficient in speaking and writing clear, professional English
• Must have relevant hands-on experience in U.S. medical billing, particularly ASC billing
• Must be able to submit an NBI Clearance and/or Local Police Clearance before onboarding
• Must be available for video meetings with camera on when required
• Must be available to work full-time, Monday through Friday, from 9:00 AM to 6:00 PM Eastern Time
• Reliable laptop or desktop computer
• Stable high-speed internet connection, minimum 25 Mbps
• Noise-canceling headset
• Working webcam
• Quiet and professional work environment

• Dedicated HR & Contractor Support Team
• Premium VPN Access (Optional)
• HIPAA & Cybersecurity Training + Certification (Provided)
• Top 1% VA Performance Training
• Client-Approved U.S. Holidays
• Client-Approved Paid or Unpaid Time Off
• Access to Tools & Resources
• Optional Performance-Based Incentives
• Optional contractor perks and client-approved allowances