Revenue Cycle Financial Representative

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary:

Position on the Centralized Estimates team. Duties include creating pre-service cost estimates from work queues and tracking data related to insurance benefits and cost estimates for services. Opportunity to assist with training and auditing internal staff once fully trained. Successful candidates will have experience with insurance eligibility, benefits, claims processing as well as strong critical thinking and communication skills. This position will interact with payors, registration, financial navigation, and other system departments. May include other duties as assigned based on business need.

Responsibilities:

1. Verifies patient coverage and service specific benefits

2. Actively participates in departmental quality by making a personal effort to reduce individual errors, and making corrections

3. Review/Create Hospital and Physician estimates within the Epic Patient Estimator

4. Research of historical claims and trending data in regards to payor plans and service specific benefits

5. Responsible for documenting and explaining benefit breakdown and out of pocket costs for patient understanding

Other information:
Education Requirements:
* High school diploma or GED.
Licensure/Certification Requirements:
* No licensure or certification required.
Professional Experience Requirements:
* Two (2) years of experience in Hospital or Physician Insurance related activities or Call Center Customer Service experience. (Authorization, Billing, Follow-Up, Call-Center, or Collections).
Knowledge/Skills/and Abilities Requirements:
* Excellent interpersonal, verbal and written communication skills.
* Excellent listening skills, and organizational skills.
* Advanced knowledge of UB-04, HCFA-1500's and Explanation of Benefits (EOB) interpretation.
* Intermediate knowledge of CPT and ICD-9 codes.
* Advanced knowledge of insurance billing, collections and insurance terminology.
* Ability to work in fast pace environment and prioritize and manage multiple tasks.
* Healthcare terminology.
* Customer Service skills.
* Computer knowledge: MS Word, Excel, and Outlook.
* Knowledge of 3rd party reimbursements from insurance companies and government payers is a plus.

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: PFE Coverage Coordination

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range:$19.12 - $27.17 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Remote

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; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.