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Revenue Cycle Management Specialist — Arizona Remote
UnisLink is hiring a remote Revenue Cycle Management Specialist in Arizona to manage healthcare claims, denials, appeals, payer follow-up, collections, and reimbursement reporting.
विवरण
- Partner with Hyderabad-based transactional teams to strengthen account performance
- Prepare and submit medical-service claims to insurers and patients
- Gather medical records, EOBs, remittances, authorizations, referrals, and other claim documentation
- Review denied physician billing claims, validate coding, correct errors, and work with insurers to recover denials
- Track aging reports and pursue outstanding claims
- Review historical registration information to support accurate, clean claims
- Record claim activity and resolutions accurately in patient accounts and claims
- Address registration, demographic, insurance, claim, and account discrepancies
- Work with cross-functional teams, managers, and practice staff to resolve issues
- Share client resolutions and monthly KPI trends
- Safeguard financial and medical information in accordance with HIPAA
- Validate billing and coding before submitting payer appeals or reconsiderations
- Analyze denial trends and patterns to reduce errors and improve conversion
- Coordinate with coders and billing managers to resolve coding-related claim issues
- Keep current with compliance and regulatory developments
- Use coding knowledge and medical terminology to assess denials and appeals
- Contribute to process and quality improvement efforts
- Meet supervisor-defined standards for accuracy, productivity, process execution, and compliance
- Provide customer service, handle patient and insurer calls, and complete prompt follow-up
- Prepare management reports and communicate resolutions related to payer denial trends
- Investigate missing payments, overpayments, and account credits
- Reconcile deposit logs against posting reports
- Keep reimbursement records complete and accurate
- Represent UnisLink’s vision, mission, and core values in daily work
- Protect sensitive information and follow UnisLink policies and procedures
- Complete additional duties as assigned
आवश्यकताएँ
- At least 3–5 years of physician billing experience focused on denials, appeals, insurance collections, and related follow-up
- Experience with Medicaid, specifically Arizona Medicaid
- Thorough knowledge of the full claims cycle, including charge and claim submission, payments, and accounts receivable
- Ability to interpret contract language and apply claims-denial appeal logic
- Extensive experience using search engines and the Internet
- Proficiency with payer websites
- Working knowledge of Microsoft Outlook, Word, and Excel
- Knowledge of and competency in HIPAA compliance
- Knowledge of accepted healthcare insurance billing practices
- Strong written, verbal, customer service, and communication skills
- Strong reasoning, critical-thinking, analytical, and mathematical abilities
- Demonstrated ability to work independently, adapt between strategic and detailed tasks, sustain productivity, and meet deadlines
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