Revenue Cycle Representative Senior- Pre-Arrival Unit

Job Description

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:

Sr Revenue Cycle Representative –

Responsible for a variety of complex duties in support of the PreRegistration and the Shopper Estimate call line. This position works with other members of the call center team to identify areas for process improvement. Analyzes processes, identifies trends, and makes recommendations to develop and/or revise work procedures and methods for improved quality. Maintains a collaborative relationship with staff and Staff Development Specialist. Participates in training sessions to ensure consistency in process implementation and auditing. Successful candidates will have experience in eligibility, authorization, billing and denials, training, and customer service. This position requires analytical and communication skills. This position will interact with patients, payers, registration and scheduling teams, OR & ancillary departments, offices and billing teams. Perform all duties in a manner which promotes teamwork and reflects UNC Health Care’s mission and philosophy.

Other Information

Other information:
Education Requirements:
● High school diploma or GED.
Licensure/Certification Requirements:
● No licensure or certification required.
Professional Experience Requirements:
● Three (3) years of experience in Hospital or Physician Insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections).
Knowledge/Skills/and Abilities Requirements:
● Excellent written and verbal communication skills.
● Intermediate technical skills including PC and MS Outlook.
● Advanced knowledge of Explanation of Benefits (EOB) and EITHER or BOTH the UB-04 for Hospital Billing or the HCFA 1500 for Professional Billing
● Intermediate knowledge of CPT and ICD-10 codes.
● Advanced knowledge of insurance billing, collections and insurance terminology.
● Extensive knowledge of 3rd party reimbursements from insurance companies and government payers is a plus.

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Pre-Arrival Unit

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $19.11 - $27.16 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 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.