*Important Notice:
Applying for Jobs:
Thank you for your continued interest in career opportunities with UNC Health! Please note the following:
- If you are a current State employee of UNC Health and are looking to apply to an NC Health position, please close this notice and continue your job search and application as an external applicant.
- If you are a current NC Health employee of UNC Health and looking to apply to a State position, please close this notice and continue your job search and application as an external applicant.
- If you are a State or NC Health employee of UNC Health applying to a position within your current payroll entity (example: State to State or NC Health to NC Health), please apply as an internal applicant through Employee Self Service.
- If applying internally though Employee Self Service, please be sure to have your employee ID number and UNC Health email address readily available.
Discovery Employee Referral Program:
Current employees, looking to refer someone? Check out our Discovery Employee Referral Program to earn extra cash!
Current employees, please ensure that you submit your candidate in our system, before they apply. For employee referral guidelines and eligibility, click here.
myCareer Development Resources:
Current UNC Health employees also now have access to our myCareer - Career Development Resources, which provide tools and guidance to employees to create a career plan.
Questions:
Need further assistance? Please submit a request through the myHR Portal.
Business Office Specialist - MNC Administration
This job posting is no longer active.
Job ID: 11434
Location: Eden, NC
Facility/Division: UNC Rockingham Health Care
Status: Full Time
Shift: Day Job
Job Description
Description
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
Summary:
Reviews, verifies, edits and submits/transmits claims and claims ata to third party payers, insurance carriers, federal and state governmental agencies. Assures claim and data submission is timely, accurate and compliant with third party payer requirements and federal and state regulations.
Responsibilities:
1. Conducts timely and effective follow-up and collection of claims submitted using the hospital automated financial systems, trial balances and other tools available for this purpose.
2. Initiates appeals on appropriate denials in order to improve cash.
3. Reviews third party payer payments, explanations of benefits/payments and other correspondence received to assure accurate processing has occurred. Initiates corrective action as indicated.
4. Researches, investigates and coordinates efforts with patients, third party payer organizations and internal staff to assure timely responses and action steps are taken in response to inquiries, questions, or concerns.
5. Maintains current knowledge of federal and state claim processing regulations and third party payer contracts, including payment rates and claims processing requirements and determines how to appropriately file claims.
6. Documents all claims processing, follow-up, collection, account inquiry resolution and reconciliation actions taken pursuant to departmental and hospital procedures.
7. Attends daily Administrative Team meeting. Updates daily census in Achieve billing system. Including registering patients and updating the ADT report. runs daily census report.
8. Enters new patients into system, generates new face sheets for all new admits.
9. Posts charges and payments to Achieve billing system. Process AP invoices (review invoice and code to correct account for AP) for Medicare A/HMO MD visits. Prepares daily deposits.
10. Balances Petty cash box, assists with reconciliation of Resident Trust and resident Council accounts. Provides frontline customer support to families with billing questions.
Other Information
Other information:
Education Requirements:
● Associate's degree (A.A.) or equivalent from a two-year college or technical school.
Licensure/Certification Requirements:
Professional Experience Requirements:
● Six months to one year related experience and/or training; or equivalent combination of education and experience.
● If a High School diploma or GED: 5 years experience.
Knowledge/Skills/and Abilities Requirements:
● Language Skills: Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents. Ability to respond to complex inquiries or complaints from customers, regulatory agencies, or members of the business community. Ability to effectively present information to top management, public groups, and/or boards of directors. Mathematical Skills: Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.COMPUTER SKILLSAbility to use medical claims processing software. Working knowledge of Word, Excel, Achieve Pathlinks, and Microsoft Exchange. Proficient keyboarding skills. Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Job Details
Legal Employer: NCHEALTH
Entity: UNC Rockingham Health Care
Organization Unit: MNC Administration
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Schedule: Day Job
Location of Job: US:NC:Eden
Exempt From Overtime: Exempt: No
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
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.
To verify employment eligibility, UNC Health is committed to Form I-9 and the E-Verify process. Learn further E-Verify details in English or Spanish.
UNC Health supports your right to work. View the Right to Work Statement in English or Spanish.
