Revenue Cycle Specialist

Unified Women's Healthcare; Florida; On-site; USD 40,000 - 52,000; Full time

Benefits offered by this job

Health coverage

Paid time off

401(k) with employer contribution

Disability & life insurance

Wellbeing support

Professional development

Job summary

Unified Women's Healthcare in Florida is seeking a Revenue Cycle Specialist to resolve AR, handle denials, review insurance payments, and collaborate with practices and payers to optimize reimbursement. The role requires strong communication, attention to detail and experience with medical billing.

You will work with CRM and practice management systems, including preferred Athenanet, Salesforce, and payer portals, supporting a team focused on accurate claims processing and timely cash

Qualifications

• High school diploma or equivalent; post-secondary degree preferred.
• 2+ years experience interpreting insurance explanations of benefits and patient responsibilities.
• 2+ years experience with medical claims, billing, collections and appeals; OB/GYN preferred.
• Experience with practice management systems (Athenanet preferred).
• Experience with cloud-based CRM technology (Salesforce preferred).
• Proficient in Microsoft Excel.
• Excellent verbal and written communication with internal and external customers.
• Ability to collaborate in a cross-functional team.
• Knowledge of payer portals (Availity, Navinet, Optum) and billing guidelines.

Responsibilities

• Resolve Accounts Receivable and collections, including denials.
• Review, follow up, and appeal denied claims per 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 denials and payer trends.
• Analyze and review work done by third parties.
• Build and generate reports as needed.

Skills

Insurance billing

Medical billing

OB/GYN billing

CRM systems

Excel proficiency

Verbal communication

Written communication

Team collaboration

Policy knowledge

Education

High school diploma

Post-secondary degree preferred

Tools

Athenanet

Salesforce

Availity

Navinet

Optum

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.

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.

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:

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

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.

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.