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Revenue Cycle Representative - Pre-Arrival Unit

This job posting is no longer active.

Job ID: 52626
Location: Raleigh, NC
Facility/Division: Shared Services
Status: Full Time
Shift: Day Job

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Job Description

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.

Job Summary:

This Revenue Cycle Representative will be a member of the Pre-Services Rex Surgery team. This team is responsible for insurance verification and obtaining authorization for surgery services provided within the UNCHCS. This position is located at the Rex Pre-Arrival Unit. This position interacts will be responsible for performing a variety of complex duties, including but not limited to working with third party insurers via internet & telephone to verify patient insurance and benefits and submit necessary information to obtain authorization for scheduled services. This position interacts with patients, physician offices, financial navigators and clinic staff to ensure accurate information and communicates patient eligibility/authorization status for coordination of services. Successful candidates will be able to work independently, have strong communication skills, well organized with strong attention to detail. 

Responsibilities

  • Responsible for all aspects of authorizations including insurance verification and authorization submission for medical procedures. Contacts insurance carriers to obtain authorizations and referral approvals for services and procedures. Researchers medical records to gather information and substantiate medical justification for procedures as required by insurance carriers. Submits requested medical information to insurance carrier.
  • Responsible for maintaining work queues. Accesses, reviews and responds to third party correspondence via email or phone. Contacts patients, physicians and insurance companies to obtain information necessary for procedure authorizations.
  • Maintains basic understanding and knowledge of health insurance plans, policies and procedures. Accurately and thoroughly documents the pertinent collection activity performed. Participates and attends meetings, training seminars and in-services to develop job knowledge. Meets/Exceeds Productivity and Quality standards

    Other Information

    Education Requirements:
    ● 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)


    Job Details

    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:Raleigh

    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.

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    Diversity Statement

    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.

    Equal Employment Opportunity

    UNC Health is an equal opportunity and affirmative action employer.

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