Unified Women’s Healthcare
Overview
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 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
Benefits
Our benefits are designed to support you and your family at every stage of life. From health and wellness to financial security and career growth, we offer a comprehensive package to help you thrive.
We’re here for you—both personally and professionally.
Here’s a look at what we offer:
Health Coverage
Medical, dental, and vision plans, fertility benefits, and supplemental insurance options.
Paid Time Off
Vacation, personal days, and paid holidays to help you recharge.
Financial & Retirement Planning
401(k) with employer contribution, plus Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs).
Income Protection
Short- and long-term disability, paid parental leave, basic life insurance, and optional additional coverage.
Wellbeing Support
Employee Assistance Program, commuter benefits, pet insurance, and identity theft protection.
Professional Development
Opportunities and resources to support your career growth.
Compensation Minimum
USD $20.00/Yr.
Compensation Maximum
USD $25.00/Yr.
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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 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
Benefits
Our benefits are designed to support you and your family at every stage of life. From health and wellness to financial security and career growth, we offer a comprehensive package to help you thrive.
We’re here for you—both personally and professionally.
Here’s a look at what we offer:
Health Coverage
Medical, dental, and vision plans, fertility benefits, and supplemental insurance options.
Paid Time Off
Vacation, personal days, and paid holidays to help you recharge.
Financial & Retirement Planning
401(k) with employer contribution, plus Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs).
Income Protection
Short- and long-term disability, paid parental leave, basic life insurance, and optional additional coverage.
Wellbeing Support
Employee Assistance Program, commuter benefits, pet insurance, and identity theft protection.
Professional Development
Opportunities and resources to support your career growth.
Compensation Minimum
USD $20.00/Yr.
Compensation Maximum
USD $25.00/Yr.
#J-18808-Ljbffr