Revenue Cycle Specialist

Apply for the Revenue Cycle Specialist role at Unified Women's Healthcare
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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.

• 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

• 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

Virginia, United States – Salary: $ – $

• Seniority Level: Not Applicable
• Employment Type:
  
  Full-time
• Job Function:
  Accounting/Auditing and Finance
• Industries:
  Hospitals and Health Care