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Unified Women's Healthcare · 3 hours ago

Revenue Cycle Specialist

Florida, United States

Full-time

Onsite

Entry, Mid Level

2+ years exp

Unified Women’s Healthcare is dedicated to supporting Ob-Gyn providers and their practices. The Revenue Cycle Specialist is responsible for resolving claim issues, ensuring clear communication with internal and external entities, and collaborating to address payment variances and denials.

Health CareHospitalMedical

H1B Sponsor Likely

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

Medical claims experienceInsurance interpretationHealthcare practice management systemsMicrosoft Excel proficiencyMedical Billing & CodingCRM technology experienceInsurance portalsCommunication skillsCross-functional collaboration

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, Certification preferred

Preferred

post secondary degree

OB/GYN specialty

Athenanet

Salesforce

Certification in Medical Billing & Coding

Benefits

Health Coverage

Paid Time Off

Financial & Retirement Planning

Income Protection

Wellbeing Support

Professional Development

Company

Unified Women's Healthcare

Unified Women's Healthcare is a management services company that specializes in administrative and business support services.

Founded in 2009

Boca Raton, Florida, USA

5001-10000 employees

https://unifiedwomenshealthcare.com

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)