Join our Talent Network
Skip to main content

*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.


Need further assistance? Please submit a request through the myHR Portal.

Revenue Cycle Representative Senior - Physician Ins Billing and Foll

This job posting is no longer active.

Job ID: 13992
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


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.

Responsible for performing a variety of complex duties in support of reimbursement from patient and insurance carriers throughout the revenue cycle from pre-service with prior authorizations and insurance verification to post-service with billing, follow-up and collections. Requires substantial knowledge of all carrier policies, procedures and practices necessary to collect carrier accounts receivable and resolve denials. Participates and assists in special projects. Assists new or existing staff with training or techniques to increase production and quality as well as provide support for the team members that may be absent or backlogged. Perform all duties in a manner which promotes teamwork and reflects UNC Health Care’s mission and philosophy.

1. Appeals & Managed Care Escalations: Project Manage all 3rd party appeals including researching and determining if carrier denial of claim is valid and if not, abstracts information from medical records to support appeal of denial. Works in conjunction with appropriate resources (Coding, HIM or clinicians) to ensure that appeal is effective and is responsible for performing charge corrections / coding changes in accordance with all (internal and external) regulatory and coding guidelines/policies. Facilitate monthly Provider Calls and Managed Care Escalations.
2. Training & Backup: Supports management in onboarding new hires and providing technical support to existing staff to ensure that time to productivity is minimal and quality is optimal. Will be available to step in to alleviate any operational impacts associated with turnover or other staffing-related issues.
3. Patient & Provider Follow-up: Will review, resolve and if necessary escalate to management patient-level issues stemming from contested charges, Risk Management or Patient Relations.
4. Reviews Cosmetic & Elective account agreements to ensure accurate postings and processing by carriers. Troubleshoots self-pay payment issues including credit card charge-back notices and NSF checks.
5. Credit Management: Performs complex remit processing (PLB’s, FB’s, WO’s) and serves as back-up to input deposits into cash databases. Reviews and processes insurance credits to resolve credit balances through refunds or posting adjustments. Compiles Medicare/Medicaid Cash Reports and quarterly Credit Balance reports.
6. Payor Audits & Pro-Active Medical Records Requests: Oversee and document all submissions pertaining to payor-generated pre-payment audits and/or medical records requests.
7. AR Reduction & Quality Review Projects: Identifies and project manages higher-level AR Reduction projects. Assists management with quality audits including reviewing and approving adjustment requests at their approved level.
8. Analysis: Uses available reporting tools to analyze, trend/quantify and if necessary escalate to appropriate stakeholders to drive improvements in preventing denials or resolving aging accounts.
9. Research & Transplant: performs charge reviews, follow-up and payment allocations for HB & PB Transplant Services. Reviews and corrects billing issues with Research Accounts to ensure proper billing.
10. Other: Responsible for processing Part B split claims. Accurately and thoroughly document the pertinent collection or follow-up activity performed. Meets/Exceeds Productivity & Quality Standards. Escalates issues to senior team members and/or management those issues impacting successful account resolution.

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: NCHEALTH

Entity: Shared Services

Organization Unit: Physician Ins Billing and Foll 

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.
Share: mail
Testimonial: Jackie image
Testimonial: Namoi Hunt image
Testimonial: Letisha Guasp image
Testimonial: Kurt Kremer image
Testimonial: Jacob Jacoby image
Testimonial: Bianca Contreras image
Testimonial: Madeline White image
Testimonial: Thomas Johnson image
Testimonial: Kristin Mooring image
Testimonial: Tamara Leary image
Recent Job Searches
Recently Viewed Jobs

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.