Revenue Cycle Financial Representative

Description

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:

The current responsibilities are performing a variety of complex duties in support of reimbursement from patients and insurance carriers throughout the revenue cycle, from pre-service with prior authorizations and insurance verification to post-service with billing, follow-up, and collections. Requires substantial knowledge of all carrier policies, procedures, and practices necessary to collect carrier accounts receivable and resolve denials. Perform all duties in a manner that promotes teamwork and reflects UNC Health Care's mission and philosophy.

Key Responsibilities:

• Create pre-service cost estimates from work queues and track data related to insurance benefits and cost estimates for services. Work is productivity-based.
• Interact with payors, registration, financial navigation, and other system departments. This position requires critical thinking, flexibility, attention to detail, accountability, and teamwork.
• There is an opportunity for growth within the team, which includes project work such as auditing, presentations, and training.
• Document and explain benefit breakdowns and out-of-pocket costs for patient understanding

Position Details:

• Remote position, including training
• Training hours: Monday-Friday, 8:00 AM-5:00 PM
• Flexible schedules available after training and ramp-up are complete
• Requires strong critical thinking, flexibility, attention to detail, accountability, and teamwork
• Preferred experience with HB and PB billing, insurance benefits, claims processing, and communication with patients and departments

Other information:
Education Requirements:
* High school diploma or GED.
Licensure/Certification Requirements:
* No licensure or certification required.
Professional Experience Requirements:
* Two (2) years of experience in Hospital or Physician Insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections).
Knowledge/Skills/and Abilities Requirements:
* Excellent interpersonal, verbal and written communication skills.
* Excellent listening skills, and organizational skills.
* Advanced knowledge of UB-04, HCFA-1500's and Explanation of Benefits (EOB) interpretation.
* Intermediate knowledge of CPT and ICD-9 codes.
* Advanced knowledge of insurance billing, collections and insurance terminology.
* Ability to work in fast-paced environment and prioritize and manage multiple tasks.
* Healthcare terminology.
* Customer Service skills.
* Computer knowledge: MS Word, Excel, and Outlook.
* Knowledge of 3rd party reimbursements from insurance companies and government payers is a plus.

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Pre-Arrival Unit

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range:$18.66 - $26.51 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Remote

Work Schedule: Day Job

Location of Job: US:NC:Chapel Hill

Exempt From Overtime: Exempt: No

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.