Unified Women’s Healthcare is a nationwide community of providers and operations specialists focused on improving women’s health across every stage of care. With a broad network of clinics, IVF labs, telehealth capabilities, and affiliated providers, the organization delivers comprehensive women’s health services and works to improve the healthcare experience.
The Revenue Cycle Specialist is responsible for resolving claim issues, including accounts receivable denials, payment variances, and other unresolved issues from internal and external customers. This role requires consistent communication with multiple stakeholders to investigate, collaborate, and resolve claim-related problems.
Key responsibilities include:
- Resolving accounts receivable and collections issues
- Reviewing, following up on, and appealing denied claims
- Determining the accuracy of insurance payments and addressing discrepancies
- Initiating, following up on, and responding to payer reimbursement issues
- Communicating with practices and payers regarding claim denials and payer trends
- Performing analysis and quality review of work completed by third parties
- Building and generating reports as needed
- High school diploma or equivalent required; post-secondary degree preferred
- Minimum 2 years of current experience interpreting insurance explanation of benefits, patient benefit plans, policy coverage, and patient responsibility
- Minimum 2 years of current experience working with medical claims, billing and collections, and appeals; OB/GYN specialty preferred
- Experience with healthcare practice management systems; Athenanet preferred
- Experience with cloud-based CRM technology; Salesforce preferred
- Proficiency with Microsoft Office, especially Excel
- Strong verbal and written communication skills
- Ability to collaborate effectively in a cross-functional team environment
- Knowledge of commercial and government insurance payer and clearinghouse portals such as Availity, Navinet, and Optum
- Working knowledge of medical billing and coding required; certification preferred
- Medical, dental, and vision coverage
- Fertility benefits and supplemental insurance options
- Vacation, personal days, and paid holidays
- 401(k) with employer contribution
- Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs)
- Short- and long-term disability
- Paid parental leave
- Basic life insurance and optional additional coverage
- Employee Assistance Program
- Commuter benefits, pet insurance, and identity theft protection
- Professional development opportunities and resources
Location
Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago