Thank you for your continued interest in career opportunities with UNC Health! Please note the following:
**This referral program is applicable to teammates within UNC Health's core facilities and divisions. This includes UNC Health Caldwell, UNC Health Chatham, UNC Health Alliance, UNC Hospitals (UNC Medical Center, UNC WakeBrook, UNC Hillsborough, and UNC Faculty Physicians), UNC Health Johnston, UNC Physicians Network, UNC Health Rex, UNC Rex Holly Springs, UNC Health Rockingham, and Shared Services.**
Current teammates, looking to refer someone? Check out our Teammate Referral Program to earn extra cash!
Current teammates, please ensure that you submit your candidate in our system, before they apply. For teammate referral guidelines and eligibility, click here.
Current UNC Health teammates also now have access to our myCareer - Career Development Resources, which provide tools and guidance to employees to create a career plan.
Job ID: 56294
Location: Chapel Hill, NC
Facility/Division: Shared Services
Status: Full Time
Shift: Day Job
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
The primary responsibility of the Pre-Arrival Radiology Team is to obtain authorizations for outpatient diagnostic tests (Example…MRI, CT Scans, PETs) to ensure payment for services rendered. It is vital that these authorizations are obtained prior to services being rendered in order to avoid claim denials. Pre-Arrival Radiology Team is also responsible for verifying patient’s insurance to ensure that they are eligible for coverage, and performs all duties in a manner which promotes teamwork and reflects UNC Health Care’s mission and philosophy.
Description of Job Responsibilities:
Contact insurance carriers to obtain authorizations and referral approvals for services and procedures. Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers. Submits requested medical information to insurance carrier.
Respond to any assigned correspondence in a timely, professional, and complete manner. Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues. Participate and attend meetings, training seminars and in-services to develop job knowledge. Meets/Exceeds Productivity and Quality standards.
● High School Degree
Professional Experience Requirements:
● Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections)
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Pre-Arrival Unit
Work Type: Full Time
Standard Hours Per Week: 40.00
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 their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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 [email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.
The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.
UNC Health is an equal opportunity and affirmative action employer.
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.
All interested applicants are invited to apply for career opportunities. Please refer to our Employment Application Accessibility page if you need a reasonable accommodation to search and/or to apply for a career opportunity.
To verify employment eligibility, UNC Health is committed to Form I-9 and the E-Verify process.
Learn further E-Verify details in E-Verify (English) or E-Verify (Spanish).
UNC Health supports your right to work. View the Right of Work Statement (English) or Right of Work Statement (Spanish).
View the KNOW YOUR RIGHTS (English) or the KNOW YOUR RIGHTS (Spanish)posters.
View the PAY TRANSPARENCY (English) or the PAY TRANSPARENCY (Spanish)Nondiscrimination provision posters.
View the Federal Workplace poster. View our EEO/AA Policy Statement.