Revenue Cycle Management Specialist

🔥 31 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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UnisLink

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 Private Equity Round on 2022-05

Healthcare • Healthcare Insurance

UnisLink is a provider of comprehensive medical billing services and revenue cycle management (RCM) solutions for healthcare practices. The company offers a range of services including medical coding, credentialing, patient collections, practice analytics, and MIPS reporting. UnisLink works with various healthcare specialties such as anesthesiology, cardiology, dermatology, and many more, adapting to the unique needs of each practice setting. With a focus on improving financial performance, UnisLink utilizes advanced technology compatible with major EHR systems to streamline billing processes, enhance revenue, and allow healthcare providers to focus on patient care.

📋 Description

• Support account performance excellence through partnerships with Hyderabad transactional teams • Create and submit medical-service claims to insurance companies and patients • Obtain supporting documentation, including medical records, EOBs, remits, authorizations, and referrals • Review denied physician billing claims, verify coding, make corrections, and contact insurers to resolve and recover denied claims • Monitor aging reports and follow up on unpaid claims • Review registration data retroactively to support clean claim submission • Document claim actions and resolutions in patient accounts and claims • Resolve registration, demographic, insurance, claim, and account issues • Collaborate with cross-functional teams, managers, coders, billing managers, and practice staff • Communicate client issue resolutions and monthly KPI trends • Follow HIPAA confidentiality requirements and compliance policies • Verify billing and coding before submitting appeals or reconsiderations • Identify denial trends and improve conversion by preventing errors • Stay current with compliance and regulatory changes • Support process and quality improvement initiatives • Meet supervisor-set goals for error-free work, transactions, processes, and compliance • Provide customer service to patients and insurers, including answering calls and responding to information requests • Deliver reports to management and communicate resolutions of payment, coding, and billing issues • Identify missing payments, overpayments, and account credits • Reconcile deposit logs with posting reports • Maintain accurate reimbursement records and perform other assigned duties

🎯 Requirements

• Minimum of 3-5 years’ experience in a Physician Billing department working denials, appeals, insurance collections, and related follow-up is required • Medicaid experience, specifically AZ Medicaid • Deep understanding of the end-to-end claim cycle, including charge/claim submission, payments, and accounts receivable • Ability to apply contract language with comprehensive understanding of claims denial appeal logic • Extensive experience using search engines and the Internet • Ability to effectively use payer websites • Knowledge and use of Microsoft products, including Outlook, Word, and Excel • Knowledge of and competency with HIPAA compliance • Knowledge of accepted healthcare insurance billing practices • Strong written and verbal customer service and communication skills • Strong reasoning, critical thinking, analytical, and mathematical skills • Ability to work independently, shift flexibly between big-picture and detailed tasks, maintain high productivity, and regularly meet deadlines