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Job ID: 59925
Location: Hendersonville, NC
Facility/Division: Pardee UNC Health Care
Status:
Shift: Day Job
Description
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.
Summary:
The Revenue Cycle Representative reconciles accounts, researches and resolves a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, sequencing of charges, and non-payment of claims.
Responsibilities:
• Reconciles accounts, researches and resolves a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, sequencing of charges, and non-payment of claims.
• Evaluate and resolve errors on insurance claims for accurate and timely payments. Reviews updates to previously billed claims for accuracy.
• Edits claims within scope of authority (or escalate as needed) to meet and satisfy billing compliance guidelines.
• Audits payments and adjustments to resolve credit balances or overpayment.
• Posts payments (Insurance and/or Patient) and denials to patient invoices/accounts in a timely and accurate manner.
• Identifies and follows up on outstanding claims as documented in Electronic Medical Recordkeeping (EMR) system. Researches claims on payor portals as needed. Calls and discusses claims with payor representatives as needed.
• Prioritize work to ensure optimal accounts receivable performance and cash flow.
PARDEE
Other information:
QUALIFICATIONS
Required
• Associate’s degree or an equivalent combination of education and experience.
• Experience working in a healthcare or finance/accounting office.
• Proficient written and verbal communication.
Preferred
• Working knowledge of CPT and ICD-9/ICD-10 coding.
• Experience working in or with an Electronic Medical Recordkeeping (EMR) system such as EPIC.
• Experience and/or education/training in medical terminology.
01.9050.0229
Legal Employer: Pardee - HCHC
Entity: Pardee UNC Health Care
Organization Unit: Pat Acct
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Schedule: Day Job
Location of Job: PARDEEHOSP
Exempt From Overtime: Exempt: Not Applicable
UNC Health 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.
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View the Federal Workplace poster. View our EEO/AA Policy Statement.
