Revenue Cycle Management Specialist

🔥 0 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 12%

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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

• Build strong partnerships with Hyderabad transactional teams to support account performance excellence • 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, correct claims, 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 accurately in patient accounts and claims • Resolve registration, demographic, insurance, claim, and account issues • Collaborate with cross-functional teams, managers, and practice staff • Communicate client-issue resolutions and monthly KPI trends • Adhere to HIPAA confidentiality requirements for financial and medical information • Verify billing and coding before payer appeals or reconsiderations • Identify denial trends and patterns to prevent errors and improve conversion • Coordinate with coders and billing managers on claim coding problems • Stay current with compliance and regulatory changes • Apply coding and medical terminology knowledge to evaluate denials and appeals • Support process and quality improvement initiatives • Meet supervisor-set goals for error-free work, transactions, processes, and compliance • Provide customer service, answer patient and insurance calls, and follow up promptly • Deliver reports to management and communicate resolutions for payer denial trends • Identify missing payments, overpayments, and account credits • Reconcile deposit logs with posting reports • Maintain accurate reimbursement records • Follow UnisLink’s vision, mission, and core values • Protect sensitive information and comply with UnisLink policies and procedures • Perform other duties as assigned

🎯 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 • Proven ability to work independently, flexibly shift from big-picture to detailed tasks, maintain high productivity, and regularly execute to deadlines