Senior Revenue Cycle Representative - Physician Insurance Billing and Follow-Up

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.

Sr. Revenue Cycle Representative Role Description
This job title is generically referred to as a "team lead", but is known in our department as a "Small Business Owner" (SBO) because it acts in an operational leadership role. The leader selected for these positions will manage an assigned sector of AR under their supervisor. The SBO will be held accountable for their assigned segment of the business; which is where the "Small Business Owner" name comes from, to emphasize this responsibility. The SBO meets this accountability by making sure their portion of the team is working towards meeting their assigned metrics, which are set at the level of the department. On a regular basis, the SBO will be required to: report out to their supervisor and other leaders their metrics, be able to speak to the issues impacting those metrics, discuss what is being done to ensure AR is not negatively impacted. In addition, they also have a number of day-to-day tasks to accomplish.

 A few of the key responsibilities of this role will be:

• Monitoring Aging AR

• Working High Dollar Accounts

• Reviewing High Dollar Appeals

• Running prompted reports in Business Objects

• Analyzing reporting to identify issues and assign projects

• Trending and monitoring identified issues

• Using dashboards to monitor health of AR

• Quality Auditing

• Answering Helper Requests from the team

• Performing Charge Corrections

• Training new staff and ongoing development of current staff

• Working on site as needed when training new hires

 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: Physician Ins Billing and Foll

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $19.59 - $27.84 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

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.