Senior Hospital Billing Specialist
Produce clean facility claims across inpatient and outpatient, and keep DNFB from becoming someone else's problem.
The role
What this job actually is
Mastery of the RCM metric set is mandatory: net collection rate, gross collection rate, days in AR, AR over 90 days, denial rate, first-pass resolution rate, clean claim rate, cost to collect, charge lag and DNFB. You must be able to read them, explain what moves them, and act on them.
You own facility claim production for hospital clients: UB-04 claims across inpatient and outpatient, revenue code and charge accuracy, and the edits that stop a claim before it reaches the payer. You watch DNFB and drive it down, because completed care sitting unbilled is the most expensive kind of delay.
Ownership
What you will own
Clean facility claims
UB-04 accuracy: revenue codes, occurrence and value codes, condition codes and bill type.
DNFB reduction
Track discharged-not-final-billed and clear the causes rather than reporting the number.
Edit resolution
Work claim scrubber and clearinghouse edits with the correct fix, not a workaround.
Charge integrity
Flag charge capture gaps and chargemaster issues you see from the claim side.
Payer rule currency
Keep facility payer rules and billing requirements current.
Denial prevention
Feed recurring facility denial causes upstream.
Ramp
Your first 90 days
First 30 days
Learn client bill types, payers and edit patterns. Produce claims under review.
By day 60
Independent production with a strong clean-claim rate and visible DNFB movement.
By day 90
Owning your client set and driving at least one structural edit fix.
Requirements
What we look for
- MANDATORY: working command of RCM metrics, net collection rate, days in AR, AR over 90, denial rate, first-pass resolution rate, clean claim rate and cost to collect
- Four or more years in US hospital facility billing, inpatient and outpatient
- Strong UB-04 command including revenue, occurrence, value and condition codes
- Experience managing DNFB and working claim edits
- Familiar with Medicare and commercial facility billing rules
Bonus
Strong plus, not required
- Critical access or FQHC billing exposure
- Experience with hospital patient accounting systems
- Knowledge of MS-DRG and APC basics
Accountability
How this role is measured
| Measure | What it means |
|---|---|
| Clean claim rate | First-pass acceptance. |
| DNFB days | Trending down. |
| Edit resolution time | Held claims cleared. |
| Facility denial rate | Trending down. |
| Throughput | Claims per day at standard. |
| Rework rate | Corrections required. |
Why ASP-RCM
Why this seat is different
We are senior-led by design. A senior partner is named on accounts and shows up in the work, which is why clients renew and why this role carries real authority rather than a title. Our AI suite is in production, not in a roadmap deck, and our compliance posture is independently audited: SOC 2 Type II with HITRUST, ISO 27001 and HIPAA.
We pay for certifications and run upskilling cohorts, because coding and revenue cycle are crafts that need investment. You will work across Dallas HQ, six US states and Chennai, India, with colleagues who have run these functions at scale.