Thank you for considering Progyny!
We are looking for a Carrier Revenue Specialist to join our Finance team. You will be responsible for identifying claims reimbursement discrepancies, claims denials trends, underpayments to resolve root cause and submit appeals to insurance carriers for correct payment. The Claims Revenue Specialist will provide analytical support for all collections processes and own the communication with Healthcare payers and internal stakeholders. The Claims Revenue team is growing rapidly and is looking for motivated individuals to join their highly successful team.
What you will do…
Creating various revenue and claims reports for key stakeholders in the Finance department.
Review claims to identify instances of denials and under payments in accordance with contracted reimbursement.
Review and analyze “Explanation of Benefits” (EOBs) to identify under-allowed and denied claims.
Monitors and tracks contractual, billing, claims, and posting errors, and provides continuous feedback to management team.
Effectively communicate with internal and external stakeholder to perform routine follow-up and escalate issues as required.
Compile and batch denied claims, or other pertinent criteria for expedited re-processing of claims.
Analyze claims data and identify corrective action plans to address root issues.
Maintain accurate records and reporting on account collection activity using Microsoft Excel
Partners with fellow colleagues to support each other in their work to contribute to overall unit success.
Conform to all applicable HIPAA, Billing Compliance and safety policies and guidelines.
About you…
Requires bachelor’s degree or equivalent in education and experience.
Minimum 2 years of related experience
Must be a motivated individual with a positive and exceptional work ethic.
Experienced in Microsoft Office (Word & Excel) or similar software is required, and an ability and willingness to learn new systems and programs.
SQL knowledge is preferred, but not required.
Excellent verbal and written communication skills
Ability to work collaboratively with a diverse team, strong customer service skills, demonstrating tact and sensitivity in stressful situations.
Excellent analytical skills: attention to detail, critical thinking ability, decision making, and researching skills to analyze a question or problem and reach a solution.
Knowledge of billing and claims procedures and claims collection techniques welcomed.
Individuals who have passion for finance and business administration
About Progyny:
Progynyis a transformative fertility, family building and women’s health benefits solution, trusted by the nation’s leading employers, health plans and benefits purchasers. We envision a world where everyone can realize dreams of family and ideal health. Our outcomes prove that comprehensive, inclusive and intentionally designed solutions simultaneously benefit employers, patients and physicians. Our benefits solution empowers patients with concierge support, coaching, education, and digital tools;provides access to a premier network of fertility and women’s health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs.Our mission is toempower healthier, supported journeys through transformative fertility, family building and women’s health benefits.
Headquartered in New York City, Progyny has been recognized for its leadership and growth. Come join a company that has been recognized by CNBC Disruptor 50, Modern Healthcare’s Best Places to Work in Healthcare, Forbes’ Best Employers, Financial Times, INC. 5000, Inc Power Partners and Crain’s Fast 50 for NYC.
Our perks:
Family friendly benefits: Paid family and parental leave–, fertility and family building benefits (including egg freezing, IVF, and adoption support), family care fund and Parents’ Employee Resource Group
Health, dental, vision and life insurance options for employees and family
Free in-person, virtual and text-based mental health and wellness support
Paid time off, including vacation, sick leave, personal days and summer flex time
Company equity
Bonus program
401(k) plan with company match
Access to on-demand legal and financial advice
Company social events
Flex days (3 days a week in the office) and onsite meals and snacks for employees reporting into our NY office
In compliance with New York City’s Wage Transparency Law, the annual salary [wage] range for NYC-based applicants is: $60,000 – $70,000. There are a variety of factors that go into determining a salary range, including but not limited to external market benchmark data, geographic location, and years of experience sought/required. Progyny offers a total compensation package comprised of base salary, cash bonus, and equity.
Progyny is proud to be anEqual Opportunity and Affirmative Action employer.We respect and seek to empower each individual and support the diverse cultures, perspectives,skillsand experiences within our workforce. All qualified applicants will receive consideration for employment without regard to race, creed, color, religion, sex, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, marital status, pregnancy or related condition, status as a protected veteran, criminal history consistent with legal requirements or any other basis protected by law.
If you are an individual with a disability and need assistance or an accommodation during the recruiting process, please send an e-mail to .
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