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Job description
Revenue Cycle Specialist
Unified is a nationwide community of providers, operations specialists and thought leaders who look for the greatest opportunities to impact every woman's health, at every stage of their journeys. We are unparalleled in our scale and ability to adapt to address unmet and underserved needs. Through 815+ clinics, 23 IVF labs, nationwide telehealth capabilities and targeted case management, our 2,700+ independent, affiliated providers deliver comprehensive women's health services and continuously work to implement methods and develop techniques or platforms that improve the healthcare experience. We remain focused on enabling the discovery of new ways for our affiliated providers to deliver the high-quality care experience women deserve, in the ways they most wish to receive it, and collaborate across our community to make our vision a reality.
The Revenue Cycle Specialist is responsible for resolving claim issues including A/R 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:
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
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
We're here for you—both personally and professionally.
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.
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.
Worksite address
richmond, VA, 23214, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.