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Senior Revenue Cycle Representative - PB Rev Integ & System Support

Job ID: 5722
Location: Chapel Hill, NC
Facility/Division: Shared Services
Status: Full Time
Shift: Day Job

Did you know UNC Health has Ranked #2 Most Trusted Healthcare Brand in the U.S.? The UNC Health brand was ranked as the #4 healthcare brand in the United States overall and the #2 most trusted healthcare brand, just after Johns Hopkins and before Mass General. Join our One-Great-Team!

Job Description

Description

Become part of an inclusive organization with over 30,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:

This is an operational leadership role and not a staff position. The leader selected for these positions will be managing AR and will held accountable for ensuring that their assigned business and team is working towards meeting the overall metrics that are assigned to the billing team group. On a regular basis, this leader will be required to report out to their supervisor and other leaders their metrics as well as be able to speak to the issues impacting those metrics and share what is being done to ensure AR is not negatively impacted.
 

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

 • Monitoring of Aging AR
• Monitoring of RQ’s Daily/Weekly
• Working High Dollar Accounts
• Reviewing High Dollar Appeals
• Running of prompted reports in Business Objects.
• Analyzing reporting to identify issues and assign projects.
• Trending and monitoring of identified issues.
• Using the BARD-AR Dashboard to monitor health of AR.
• Quality Auditing
• Answering of Helper Requests
• Charge Corrections
• Training of new staff and ongoing development of current staff.
• Adaptability and willingness to change work schedule as needed including working on- site for extended periods of time to assist with training and/or special projects.
• Being organized is KEY! This leader will be required to track, monitor and report on their assigned projects.

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: NC Health

Entity: Shared Services

Organization Unit: PB Rev Integ & System Support 

Work Type: Full Time

Standard Hours Per Week: 40.00

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. This is not a State employed position.
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Diversity Statement

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.

Equal Employment Opportunity

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