ASC Billing Manager

The ASC (Ambulatory Surgery Center) Billing Manager will be responsible for managing the full revenue cycle operations for an ambulatory surgery center, ensuring accurate billing, coding, collections, compliance, and reimbursement from payers. This role combines financial oversight, regulatory compliance, and team leadership to safeguard the center’s financial performance.

CORE RESPONSIBILITIES:

Revenue Cycle Management:

• Oversee end-to-end billing processes: charge entry, coding, claim submission, payment posting, denials, appeals, and collections.
• Ensure accurate CPT, HCPCS, and ICD-10 coding for surgical procedures and anesthesia.
• Monitor AR aging and maintain key performance metrics (DSO, clean claim rate, denial rate).

Compliance & Regulatory Oversight:

• Ensure billing practices comply with CMS, HIPAA, Medicare, Medicaid, and payer-specific guidelines.
• Maintain knowledge of ASC reimbursement rules, fee schedules, and billing modifiers.
• Prepare and respond to payer audits.

Team Leadership:

• Supervise and assign workloads, monitor productivity, and handle performance evaluations.
• Ensure that staff are trained accordingly.

Payer Relations & Contracting Support:

• Collaborate with payers to resolve claim disputes or update reimbursement rates.
• Support contract negotiations by providing reimbursement trends and financial data.

Reporting & Financial Analysis:

• Provide regular revenue reports, payer mix analyses, denial trends, and cash flow projections.
• Work with the Director of Revenue Cycle Management to support budgeting and financial planning.

Patient Communication:

• Oversee patient billing statements, handle escalated billing-related inquiries.
• Ensure compliance with balance billing and financial hardship policies.

KEY SKILLS & QUALIFICATIONS:

• Bachelor’s degree preferred.
• Experience in ASC billing or surgical billing required.
• Minimum (5) years of experience in a Central Billing Office (CBO)/medical office setting, highly preferred (i.e., ambulatory surgery center, hospital, doctors’ office).
• Management/Supervisory experience necessary.
• Strong knowledge of CPT, ICD-10, HCPCS, and modifier use.
• Familiarity with Medicare’s ASC Payment System (APC), OPPS.
• Excellent understanding of revenue cycle KPIs and ASC-specific regulations.
• Leadership, training, and team development experience.

ABOUT OUR PRACTICEWe are proud to be the leading providers of progressive interventional pain relief.Our team of board-certified physicians and medical staff are highly trained in all areas of diagnosis, treatment, and patient care.LOOKING FOR A CAREER IN THE MEDICAL FIELD?Apply today and have the potential to join Northeast Florida’s Leading Interventional Pain Management Specialists. At Jax Spine & Pain Centers, we provide our patients with superior solutions to treat acute and chronic pain.Now serving multiple locations, our board certified physician’s along with our professional staff value hands-on compassionate care, from the consultation through treatment. Please see the list below for our current openings. We seek qualified, highly energized and self-motivated individuals who respect the essence of time and appreciate the value of a smile.We are always accepting resumes for the following positions:Medical assistantsDME techniciansMedical billing/AR specialistsCall center customer service representatives.