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UnisLink
UnisLink
51 – 200 Angajați
Asigurare de sănătateAsistență medicală
UnisLink oferă servicii de facturare medicală și de gestionare a ciclului veniturilor pentru cabinete și organizații medicale. Activitatea sa include codificare medicală, acreditarea furnizorilor de servicii medicale, colectarea plăților de la pacienți, analize pentru cabinete și raportare MIPS, sprijinind specializări precum anestezie, cardiologie și dermatologie. Compania combină aceste servicii cu tehnologie concepută să funcționeze cu principalele sisteme de dosare medicale electronice, ajutând cabinetele să își gestioneze operațiunile de facturare, să își consolideze performanța veniturilor și să acorde mai multă atenție îngrijirii pacienților.
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Locurile de muncă ale companiei

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.

USStatele Unite ale AmericiiAZArizonaRemoteNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăGeneralSpecialist în ciclul veniturilor

Descriere

  • 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

Cerințe

  • 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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