Revenue Cycle Operations Talent Pipeline

Unified Women’s Healthcare; Town of Florida (NY); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical, dental, and vision plans

Paid Time Off

401(k) with employer contribution

Employee Assistance Program

Opportunities for professional development

Job summary

A leading women's health organization based in New York seeks skilled professionals for various roles in its Revenue Cycle Management team. Positions include resolving claim issues, handling patient collections, and ensuring efficient billing processes. Ideal candidates will have at least 2 years of experience in medical billing, excellent communication skills, and proficiency with relevant software tools. The organization offers a comprehensive benefits package aimed at promoting well-being and career growth.

Qualifications

• Minimum of 2 years experience with medical billing and collections.
• Ability to interpret insurance benefit plans and patient responsibilities.
• Knowledge of commercial and governmental insurance payer portals.

Responsibilities

• Resolve claim issues including denials and payment variances.
• Assist patients with medical billing and insurance questions.
• Handle A/R denials and underpayments within Care Centers.
• Maintain payer enrollment table under direction.

Skills

Experience interpreting insurance explanation of benefits

Experience working with medical claims

Experience with healthcare practice management systems

Proficiency in Microsoft Excel

Collaborative cross-functional team skills

Excellent verbal and written communication skills

Education

High school diploma or equivalent

Post secondary degree preferred

Tools

Athenanet

Salesforce

Job description

Overview

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.

Responsibilities

1. 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.
2. 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.
3. 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.
4. 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).

Qualifications

Common Qualifications

While each role has specific needs, all our RCM professionals share:

• 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

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.

Here’s a look at what we offer:

• 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.