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Unified Women's Healthcare

Revenue Cycle Specialist

Unified Women's Healthcare, New York, New York, us, 10261

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Revenue Cycle Specialist

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Unified Women's Healthcare .

Overview Unified Women’s Healthcare is dedicated to supporting Ob‑Gyn providers and their practice staff. A team of experienced professionals with significant business and healthcare background, we operate with a singular mindset—great care needs great care. Our mission is to be an indispensable source of business knowledge, innovation, and support to network practices. We advocate for our Ob‑Gyn affiliates, enabling them to focus on medicine while we focus on the business of medicine. We are action‑oriented, strategizing, implementing, and executing on behalf of the practices we serve.

Responsibilities

Resolve accounts receivable and collections issues.

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 to payer reimbursement issues.

Communicate with practices and payers regarding claim denials and payer trends.

Analyze and quality review 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 of current experience interpreting insurance explanation of benefits, patient benefit plans, policy coverage, and patient responsibility.

Minimum of 2 years of current experience working with medical claims, billing, collections, and appeals; OB/GYN specialty preferred.

Experience working with healthcare practice management systems (Athenanet).

Experience working with cloud‑based customer relationship management (CRM) software; Salesforce preferred.

Proficiency with Microsoft Office, especially 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.).

Working knowledge of medical billing and coding; certification preferred.

Benefits

Health coverage: Medical, dental, vision plans, fertility benefits, and supplemental insurance options.

Paid time off: Vacation, personal days, and paid holidays.

Financial & retirement planning: 401(k) with employer contribution, FSAs, and HSAs.

Income protection: Short‑ and long‑term disability, paid parental leave, basic life insurance, and optional additional coverage.

Well‑being support: Employee Assistance Program, commuter benefits, pet insurance, and identity theft protection.

Professional development: Opportunities and resources to support career growth.

Compensation USD $20.00/Yr. – USD $25.00/Yr.

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