Uptiv Health: Revenue Cycle Specialist (Fully Remote)

Uptiv Health: Revenue Cycle Specialist (Fully Remote)

About Our Company

At Uptiv Health we’re transforming the experience of infusion care for millions of Americans living with complex chronic conditions, such as Multiple Sclerosis, Crohn's Disease, Ulcerative Colitis, Rheumatoid Arthritis, and others.  We partner with care teams across referring doctors, families and caregivers, primary care doctors, health systems and insurance plans to provide holistic and personalized care that goes beyond the four walls of our state-of-the-art clinics. Become part of the groundbreaking team humanizing complex chronic care delivery. 

About The Role

The Revenue Cycle Specialist will be part of the groundbreaking team making the future of complex chronic care delivery the way it should be - human-centered and personalized. The Revenue Cycle Specialist will work with our team, vendors, patients, and providers on a daily basis; serving as an expert, fielding various questions related to authorization status, patient billing inquiries, and generalized RCM questions. In this key role, you’ll showcase your RCM expertise, strategic planning acumen, penchant for accuracy, and problem-solving skills.

What You’ll Do: 

• Monitors and aids in benefits investigation and prior authorization processes; ensuring incoming referrals are processed timely and accurately - this includes working with referral sources to obtain all required documentation leading to successful authorization attainment, all with AI enabled tools and aids
• Serve as the internal revenue cycle SME;  fielding questions from the Uptiv Health team, referring providers, and patients
• Track, report, and escalate service issues impacting patient care - ensure referral completion prior to service, thus preventing any delays in therapy 
• Manage patient payments, including setting up payment plans, collecting balances, and addressing billing questions.  

What You’ll Need:

• 4 years’ Intake (authorization), Medical Billing, and/or Collections experience highly preferred.
• Experience in Intake, Medical Billing, and/or Collections is required
• Keen attention to detail and strong experience working with payers is required
• Emotional intelligence, strong relational skills, and the ability to effectively communicate with referral sources, team members, and vendors in methods appropriate for the audience

The skill to manage your resources, time, and bandwidth to deliver the most value for all stakeholders and drive referral growth and conversion

• Strong knowledge of health insurance plans, the authorization process, and requirements to convert a referral into an authorization are required 
• Experience in the infusion setting (preferred) 

What You Bring to the Table:

• Ability to be a hands on player who lives in the details of our referrals
• Ability to collaborate with your operations and sales counterparts, team members (all levels of the org), internal stakeholders, external stakeholders, and referring physicians to seek mutually beneficial solutions and remedy issues
• Keen interest in joining a fast-growing startup where you have an opportunity to grow and influence RCM in a very direct manner

Who You Are:

Communicate Effectively: You are able to communicate effectively with anyone, from referral sources to payers in an accurate and tailored way to meet the audienceAction Oriented: You readily take action on challenges, without unnecessary planning. Identifies and seizes new opportunities. You display a can-do attitude in good and bad times. Steps up to handle tough issues. You’re a go-getter, and we’re here to support you.Manages Complexity:  You ask the right questions to accurately analyze situations and uncover root causes to difficult issues. Through acquiring data from multiple and diverse sources, you are able to make sense of complex, high-quantity, and sometimes contradictory information to solve problems.

Compensation:

• Market competitive compensation package including salary, flexible PTO, medical, dental, vision

Conditions of your Employment

• You must be authorized to work in the United States of America
• Applicants are required to pass a comprehensive background check as a condition of employment
• This role is fully remote

Equal Employment Opportunity Policy

Uptiv Health, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.