Revenue Cycle Operations Talent Pipeline

Summary

Unified Women's Healthcare is a nationwide community dedicated to improving women's health at every stage of their journeys. They are seeking talented professionals for their Revenue Cycle Management team to fill various roles that involve managing the financial healthcare lifecycle, including billing, collections, and patient services.

Responsibilities

• 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
• 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
• 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
• The Provider Services Associate works under the direction of the Provider Services Manager to start and maintain the payer enrollment table in Athena (EHR)

Skills

• 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
• Post secondary degree
• OB/GYN specialty
• Athenanet
• Salesforce
• Working knowledge of Medical Billing & Coding

Qualifications

Must Haves

• 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

Nice to Haves

• post secondary degree
• OB/GYN specialty
• Athenanet
• Salesforce
• Working knowledge of Medical Billing & Coding

Benefits

• Health Coverage
• Paid Time Off
• Financial & Retirement Planning
• Income Protection
• Wellbeing Support
• Professional Development