Health Care Call Center Representative

UNC Health; Eastowne (NC); Ibrido; USD 26.000 - 37.000; Tempo pieno

Descrizione del lavoro

UNC Health in North Carolina is seeking a Revenue Cycle Financial Representative for the Billing Customer Service Call Center. You will handle high-volume inbound calls (40k+ monthly) about payments, insurance, EOBs, and financial assistance in a hybrid work setting.

The role covers hospital and physician billing; requires a high school diploma and two years of related experience, with strong UB-04/HCFA-1500 knowledge and proficiency in insurance terminology.

Competenze

• High school diploma or GED.
• Two years of hospital or physician insurance related experience.
• Strong knowledge of UB-04 and HCFA-1500 forms.
• Proficiency in insurance billing and collections.

Mansioni

• Respond to inbound calls regarding billing inquiries, payments, insurance, and financial assistance.
• Assist patients with payments and payment plans.
• Understand EOBs and insurance billing.
• Request itemized bills and verify coverage.
• Document interactions in CRM and follow up on unresolved issues.
• Maintain HIPAA compliance.

Conoscenze

Communication skills

Customer service

Medical billing knowledge

Attention to detail

MS Word/Excel/Outlook

Formazione

High school diploma or GED

Strumenti

CRM systems

Medical billing software

UB-04/HCFA-1500 knowledge

Descrizione del lavoro

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.

Position Summary:

The primary responsibility of the Revenue Cycle Financial Representative supporting the UNC Health Billing Customer Service Call Center - Billing is to support high-volumeinbound patient calls-averaging 45-60 calls per day and contributing to over 40,000 monthly contacts. These calls range from simple payment transactions to complex billing inquiries involving insurance, Explanation of Benefits (EOBs), estate matters, and collections. This is a call center representative position with a structured schedule in a high pressure environment.

This role supports both hospital and physician billing (HB and PB), serving as a key resource for patients seeking resolution to billing/financial concerns.

Key Responsibilities

• Respond to inbound calls regarding billing inquiries, payments, insurance, and financial assistance.
• Assist patients with:
• Making payments and setting up payment plans.
• Understanding EOBs and insurance billing.
• Requesting itemized bills and verifying coverage.
• Payroll deductions, refunds, and charity care applications.
• Estate-related billing and collections.
• Initiate outreach to provide resolution, collect on delinquent accounts and high-balance follow-ups.
• May support MyUNCChart messages, written correspondence, and other self-pay workflows.
• Responsible for de-escalating patient relations escalated billing concerns, including charge validation and payment reconciliation.
• Document all interactions in CRM systems and follow up on unresolved issues.
• Maintain strict HIPAA compliance and patient confidentiality.
• Training:6-8 weeks of structured onboarding, primarily remote via Webex, with required on-camera participation.
• Onsite days in Morrisville or Chapel Hill, NC. may be required based on performance.
• Work Schedule:
• Monday-Thursday: 8:00 AM - 6:00 PM (30 or 60-minute lunch as assigned)
• Friday: 8:00 AM - 12:00 Noon
• Note:Schedule is fixed due to high call volume; this is not a flexible schedule.
• Work Model:Remote with possible onsite attendance based on training, performance and other criteria.

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 (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.

Job Details

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Customer Service Call Center

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range:$18.84 - $26.77 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

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 [e-mail] if you need a reasonable accommodation to search and/or to apply for a career opportunity.