Revenue Cycle Operations Talent Pipeline

Unified Women's Healthcare

10h

About The Position

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. About Our RCM Team Are you a specialist in the financial healthcare lifecycle? We are looking for talented professionals to join our Revenue Cycle Management team. By applying to this "Talent Pipeline" requisition, you are expressing interest in multiple current and upcoming roles.

Requirements

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 and proficiency in Microsoft Excel
Ability to collaborate effectively in a cross-functional team environment
Excellent verbal and written communication skills with internal and external customers
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 preferred

Responsibilities

Revenue Cycle Specialist (Billing & Collections): The Revenue Cycle Specialist is responsible for resolving claim issues including denials, payment variances, and any other unresolved issues that may arise directly from internal and external customers.
Patient Collection Specialist: The Patient Collection Specialist assists patients with medical billing and insurance related questions through account research, balance verification, and verification of billing and policy compliance. This role is responsible for all activity related to collection of patients’ outstanding balances and is authorized to transfer or adjust patient balances pending manager approval.
Payment Research Specialist: This position is responsible for resolving claims issues within the Care Centers (CCs). The position is responsible for A/R denials, underpayments, payments not according to contractual agreements, and any unresolved claims issues that may arise directly from the Care Center.
Provider Services Associate The Provider Services Associate works under the direction of the Provider Services Manager to start and maintain the payer enrollment table in Athena (EHR).

Benefits

Medical, dental, and vision plans, fertility benefits, and supplemental insurance options.
Vacation, personal days, and paid holidays to help you recharge.
401(k) with employer contribution, plus 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.
Opportunities and resources to support your career growth.

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