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Healthcare Billing Specialist – ASC Billing
Winning Assistants LLC. Manage full-cycle Ambulatory Surgery Center (ASC) billing, including claims preparation, submission, tracking, follow-ups, denials, appeals, and reimbursement resolution .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in U.S. Ambulatory Surgery Center (ASC) billing processes, including claims preparation, submission, and follow-up, while ensuring compliance with HIPAA regulations. Proficient in managing accounts receivable and resolving billing discrepancies with strong analytical and organizational skills.
Highest-signal resume keywords
ASC Billing ManagementCPT/HCPCS CodingClaims Submission and TrackingInsurance Eligibility VerificationRevenue Cycle Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ASC BillingClaims PreparationCPT CodingHCPCS CodingICD-10 CodingClaims TrackingAccounts Receivable ManagementBilling Discrepancy ResolutionReimbursement GuidelinesEOB Management
Soft Skills
Attention to DetailAnalytical ThinkingProblem-SolvingOrganizational SkillsMultitasking
Tools & Technologies
ALORANextiva VoIP
Certifications & Qualifications
NBI ClearanceLocal Police Clearance
Industry Keywords
Ambulatory Surgery CenterOutpatient Surgical ClaimsMedicare BillingMedicaid BillingCommercial Insurance BillingHIPAA CompliancePatient Confidentiality
Tech Stack
Tools & technologiesVoIP
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- 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
Benefits
Comp & perks- 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