Unified Women's Healthcare · 3 hours ago
Revenue Cycle Specialist
United States
Full-time
Remote
Entry, Mid Level
2+ years expUnified Women's Healthcare is dedicated to supporting Ob-Gyn providers by providing business knowledge and innovation. The Revenue Cycle Specialist is responsible for resolving claim issues and ensuring effective communication with internal and external entities to facilitate the resolution of payment discrepancies.
Health CareHospitalMedical
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
Qualification
Required
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
Preferred
post secondary degree preferred
OB/GYN specialty preferred
Athenanet preferred
Salesforce preferred
Certification preferred
Company
Unified Women's Healthcare
Unified Women's Healthcare is a management services company that specializes in administrative and business support services.
5001-10000 employees
H1B Sponsorship
Unified Women's Healthcare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (2)
2023 (1)
2020 (1)
Funding
Current Stage
Late StageLeadership Team
Bob LaGalia
President & Chief Executive Officer
Kathy Kraay
Chief Financial Officer
Recent News
2025-09-03
2023-07-21
Company data provided by crunchbase