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Job ID: 6505
Location: Raleigh, NC
Facility/Division: Shared Services
Status: Full Time
Shift: Day Job
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.
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 communicate 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.
High school diploma or GED. Licensure/Certification Requirements: No licensure or certification required.
Professional Experience Requirements:
One (1) year of experience in Hospital or Physician Insurance related activities (Authorization, Billing, Follow-Up, CallCenter, or Collections) Knowledge, Skills, and Abilities Requirements: Good written and verbal communication skills. Intermediate technical skills including PC and MS Outlook. Intermediate knowledge of UB-04, HCFA 1500, and Explanation of Benefits (EOB) interpretation. Intermediate knowledge of insurance collections and insurance terminology. Knowledge of 3rd party reimbursements from insurance companies and government payers is a plus
Legal Employer: NC Health
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:Chapel Hill
Exempt From Overtime: Exempt: No
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.