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Job ID: FIN003PE
Location: Chapel Hill, NC
Facility/Division: SHARED SERVICES
Shift: Day Job
Responsible for a variety of complex pre-services, financial navigation and customer service related functions for patients and/or their representative including pre-service estimates, collection of pre-payments and prior debt, , obtain authorizations, address billing questions, establish payment plans, screen for financial assistance programs respond to patient billing inquiries and other Customer Service requests for both hospital and physician services.
Description of Job Responsibilities:
Create Hospital and Physician estimates using the Epic Patient Estimator, review eligibility and benefits utilizing RTE and payer websites, and obtain authorization requirements as needed.
Contact patient pre-service providing benefit and patient liability education, explain the estimate cost, and attempt to secure payment and/or set expectation of payment at time of service. Obtain patient signatures on fee agreements, ABN, and waivers as appropriate.
Provide estimates to patient shoppers and clinical areas across the healthcare system. Serve as a liaison between clinical areas and patient financial services.
Screen and assist patients with financial assistance programs including UNC Financial Assistance, Medicaid, COBRA Assistance, ACA plans and/or other funding sources available. Discuss payment plan options for pre- and post- service collections. Refer patients for payment plan arrangements as appropriate.
Monitor and track routine follow up with Medicaid and financial assistance approvals. Assist with processing financial assistance applications as appropriate. Handle HB/PB patient inquiries to address any/all billing questions via inbound calls, MyUNCChart, patient correspondence and patient walk-ins.
Fulfill patient requests for itemization of charges, adding/verifying/billing insurance, establishing payment plans, payroll deductions, process adjustments, request refunds, and explain financial assistance policy and guidelines.
Work with Patient Relations, Risk Management for HB and PB patients who have escalated complaints or concerns. Oversee HB Client account billing and follow-up which includes validating charges, review and move charges, research and reconcile payments, communicate with multiple departments to answer client questions and collect payments. Work with external customers such as collection agencies, UNCPN and Hospital based clinics to address any patient concerns
QualificationsHigh School diploma or GED. Two (2) years of experience in Hospital or Physician Insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections)
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 employer. As such, UNC Health offers equal employment opportunities to applicants and employees without regard to race, color, religion, sex, national origin, age, genetic information, disability, sexual orientation, gender identity or political affiliation.