Unified Women's Healthcare
Revenue Cycle Specialist
Unified Women's Healthcare, Granite Heights, Wisconsin, United States
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Revenue Cycle Specialist
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Unified Women's Healthcare Join to apply for the
Revenue Cycle Specialist
role at
Unified Women's Healthcare Get AI-powered advice on this job and more exclusive features. Overview
Unified Women’s Healthcare is a company dedicated to caring for Ob-Gyn providers who care for others, be they physicians or their support staff. A team of like-minded professionals with significant business and healthcare experience, we operate with a singular mindset - great care needs great care. Overview
Unified Women’s Healthcare is a company dedicated to caring for Ob-Gyn providers who care for others, be they physicians or their support staff. A team of like-minded professionals with significant business and healthcare experience, we operate with a singular mindset - great care needs great care.
We take great pride in not just speaking about this but executing on it. As a company, our mission is to be an indispensable source of business knowledge, innovation and support to the practices in our network. We are advocates for our Ob-Gyn medical affiliates - enabling them to focus solely on the practice of medicine while we focus on the business of medicine.
We are action oriented. We strategize, implement and execute - on behalf of the practices we serve.
The Revenue Cycle Specialist is responsible for resolving claim issues including denials,
payment variances, and any other unresolved issues that may arise directly from internal and
external customers. There is an expectation of consistent and clear communication to
multiple internal and external entities to collaborate and resolve issues. Duties include but are
not limited to:
Responsibilities
Resolve Accounts Receivable and Collections, including Review, Follow Up, and Appeal denied claims according to standards Determine accuracy of Insurance payments and follow up on discrepancies Initiate, Follow Up, and Respond on payer reimbursement issues Communicate with Practices and Payers regarding claim denials and payer trends Analysis and Quality Review of work completed by third parties Build and generate reports, as needed
Qualifications
High school diploma or equivalent; post secondary degree preferred Minimum of 2 years current experience interpreting insurance explanation of benefits,
patient benefit plans; policy coverage and patient responsibility
Minimum of 2 years current experience working with medical claims, billing and
collections, and appeals; OB/GYN specialty preferred
Experience working with healthcare practice management systems, (Athenanet
preferred)
Experience working with cloud-based Customer Relationship Management (CRM)
technology (Salesforce preferred)
Experience with Microsoft Office with proficiency with Microsoft Excel Excellent verbal and written communication skills with internal and external customers Ability to collaborate effectively in a cross-functional team environment Experience and knowledge of commercial and governmental insurance payer and
clearinghouse portals (Availity, Navinet, Optum, etc.) including billing guidelines and
policy updates
Working knowledge of Medical Billing & Coding required, Certification preferred
Seniority level
Seniority level Not Applicable Employment type
Employment type Full-time Job function
Job function Accounting/Auditing and Finance Industries Hospitals and Health Care Referrals increase your chances of interviewing at Unified Women's Healthcare by 2x Sign in to set job alerts for “Revenue Specialist” roles.
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Revenue Cycle Specialist
role at
Unified Women's Healthcare Join to apply for the
Revenue Cycle Specialist
role at
Unified Women's Healthcare Get AI-powered advice on this job and more exclusive features. Overview
Unified Women’s Healthcare is a company dedicated to caring for Ob-Gyn providers who care for others, be they physicians or their support staff. A team of like-minded professionals with significant business and healthcare experience, we operate with a singular mindset - great care needs great care. Overview
Unified Women’s Healthcare is a company dedicated to caring for Ob-Gyn providers who care for others, be they physicians or their support staff. A team of like-minded professionals with significant business and healthcare experience, we operate with a singular mindset - great care needs great care.
We take great pride in not just speaking about this but executing on it. As a company, our mission is to be an indispensable source of business knowledge, innovation and support to the practices in our network. We are advocates for our Ob-Gyn medical affiliates - enabling them to focus solely on the practice of medicine while we focus on the business of medicine.
We are action oriented. We strategize, implement and execute - on behalf of the practices we serve.
The Revenue Cycle Specialist is responsible for resolving claim issues including denials,
payment variances, and any other unresolved issues that may arise directly from internal and
external customers. There is an expectation of consistent and clear communication to
multiple internal and external entities to collaborate and resolve issues. Duties include but are
not limited to:
Responsibilities
Resolve Accounts Receivable and Collections, including Review, Follow Up, and Appeal denied claims according to standards Determine accuracy of Insurance payments and follow up on discrepancies Initiate, Follow Up, and Respond on payer reimbursement issues Communicate with Practices and Payers regarding claim denials and payer trends Analysis and Quality Review of work completed by third parties Build and generate reports, as needed
Qualifications
High school diploma or equivalent; post secondary degree preferred Minimum of 2 years current experience interpreting insurance explanation of benefits,
patient benefit plans; policy coverage and patient responsibility
Minimum of 2 years current experience working with medical claims, billing and
collections, and appeals; OB/GYN specialty preferred
Experience working with healthcare practice management systems, (Athenanet
preferred)
Experience working with cloud-based Customer Relationship Management (CRM)
technology (Salesforce preferred)
Experience with Microsoft Office with proficiency with Microsoft Excel Excellent verbal and written communication skills with internal and external customers Ability to collaborate effectively in a cross-functional team environment Experience and knowledge of commercial and governmental insurance payer and
clearinghouse portals (Availity, Navinet, Optum, etc.) including billing guidelines and
policy updates
Working knowledge of Medical Billing & Coding required, Certification preferred
Seniority level
Seniority level Not Applicable Employment type
Employment type Full-time Job function
Job function Accounting/Auditing and Finance Industries Hospitals and Health Care Referrals increase your chances of interviewing at Unified Women's Healthcare by 2x Sign in to set job alerts for “Revenue Specialist” roles.
Austin, TX $95,000.00-$105,000.00 20 hours ago Remote Revenue Cycle Analyst ( In San Antonio)
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Austin, TX $100,000.00-$120,000.00 1 week ago Texas, United States $85,000.00-$95,000.00 2 days ago Houston, TX $85,000.00-$95,000.00 2 days ago Houston, TX $85,000.00-$95,000.00 2 days ago Fort Worth, TX $85,000.00-$95,000.00 2 days ago Business Analyst with Policy Center- 100% Remote
Texas, United States $70.00-$75.00 4 days ago Texas, United States $65.00-$68.00 6 days ago Irving, TX $65,550.00-$87,375.00 6 days ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr