Revenue Cycle Specialist: Claims, Denials & Payer Expert

Unified Women’s Healthcare, LP; Florida; On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Health Coverage

Paid Time Off

Retirement Planning

Income Protection

Wellbeing Support

Professional Development

Job summary

Unified Women’s Healthcare, LP is seeking a Revenue Cycle Specialist in Florida to resolve AR and denial issues, ensure accurate insurance payments, and collaborate with practices and payers on reimbursement trends.

The role requires experience with medical billing, payer portals, and CRM/PM systems; OB/GYN background is a plus. Competitive benefits included and standard healthcare coverage.

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 Excel and standard MS Office tools

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

Skills

Communication skills

Team collaboration

Attention to detail

Education

High school diploma or equivalent

Post-secondary degree preferred

Tools

Athenanet

Salesforce

Microsoft Excel

Job description

Unified Women’s Healthcare, LP is seeking a Revenue Cycle Specialist in Florida to resolve AR and denial issues, ensure accurate insurance payments, and collaborate with practices and payers on reimbursement trends.

The role requires experience with medical billing, payer portals, and CRM/PM systems; OB/GYN background is a plus. Competitive benefits included and standard healthcare coverage.