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Senior Revenue Cycle Representative - Pre-Arrival Unit

Job ID: 20211
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 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:

Responsible for performing a variety of complex duties in support of price transparency through the estimate process. This position works with other members of the Estimate creation team to identify areas for improvement with regards to service cost estimates. Participates in and provides direction for staff training and auditing processes to ensure consistency and quality. Requires substantial knowledge of insurance carrier policies, HB and PB procedures, billing, and practices necessary to create and revise cost estimates. 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 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.

Responsibilities:

1. Training – supporting new and existing employees with implementing processes

2. Auditing – reviewing work to verify quality /providing feedback to users

3. Communication – outreach to team members, clinic staff, and patients 

Other Information

Education Requirements:
● High school diploma or GED.
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: 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



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

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.

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