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.
Revenue Cycle Management Specialist - Arizona Remote
Fully remote role supporting UnisLink’s healthcare billing operations in Arizona. Manage claims, denials, appeals, collections, and accounts receivable.
Descriere
- Partner with Hyderabad-based transactional teams to support account performance.
- Prepare and submit medical-service claims to insurers and patients.
- Collect supporting records, including medical documentation, EOBs, remittance advice, authorizations, and referrals.
- Assess denied physician billing claims, validate coding, correct errors, and work with insurers to recover payment.
- Track aging reports and pursue outstanding claims.
- Review historical registration information to help produce clean claims.
- Record claim activity and outcomes in patient accounts and claims systems.
- Address registration, demographic, insurance, claim, and account discrepancies.
- Coordinate with cross-functional teams, managers, coders, billing leaders, and practice personnel.
- Report client issue resolutions and monthly KPI developments.
- Protect confidential information in accordance with HIPAA and internal compliance policies.
- Confirm billing and coding accuracy before filing appeals or reconsiderations.
- Analyze denial patterns and improve conversion by reducing preventable errors.
- Keep current with regulatory and compliance developments.
- Contribute to process and quality-improvement efforts.
- Achieve supervisor-defined standards for accuracy, productivity, process execution, and compliance.
- Assist patients and insurers by handling calls and responding to information requests.
- Prepare management reports and explain resolutions for payment, coding, and billing matters.
- Investigate missing payments, overpayments, and account credits.
- Match deposit records against posting reports.
- Keep reimbursement records accurate and complete other assigned responsibilities.
Cerințe
- At least 3–5 years of physician billing experience focused on denials, appeals, insurance collections, and related follow-up.
- Experience with Arizona Medicaid is required.
- Thorough knowledge of the complete claims lifecycle, from charge and claim submission through payment and accounts receivable.
- Ability to interpret contract language and apply claims-denial appeal logic.
- Extensive experience using search engines and online resources.
- Proficiency with payer websites.
- Working knowledge of Microsoft Outlook, Word, and Excel.
- Knowledge of and ability to follow HIPAA requirements.
- Understanding of established healthcare insurance billing practices.
- Strong written, verbal, customer-service, and communication skills.
- Strong reasoning, critical-thinking, analytical, and mathematical abilities.
- Ability to work independently, move between strategic and detail-oriented tasks, maintain productivity, and consistently meet deadlines.