Remote Revenue Cycle Specialist

UNC Health Care; Eastowne (NC); On-site; USD 25,000 - 34,000; Full time

Job summary

UNC Health Care in Chapel Hill, NC is seeking a claims follow-up specialist to join the Shared Services Patient Accounting team. You will handle submission, follow-up, denials, and re-bills of insurance claims to ensure timely payments and accurate postings.

The role requires at least two years of hospital or physician insurance experience, a high school diploma, and a commitment to accuracy, teamwork, and UNC Health's mission.

Qualifications

• High School Degree
• Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections)

Responsibilities

• Responsible for the accurate and timely submission of claims, response to denials, and re-bills of insurance claims.
• Responsible for all aspects of insurance follow-up and collections including interfacing with internal and external departments to resolve discrepancies through charge corrections, payment corrections, write-offs, refunds or other methods.
• Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority to meet and satisfy billing compliance guidelines for electronic submission.
• Contact insurance carriers to obtain authorizations and referral approvals for services and procedures.
• Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers.
• Responsible for the analysis and necessary corrections of patient invoices or accounts as it pertains to clean claim submissions or re-bills.
• Responsible for maintaining work queues and responding to third party correspondence; resolve issues related to posting of payments and charges, insurance denials, secondary billing issues, and non-payment of claims.
• Contact patients, physicians and insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments, refunds or other methods.
• Verify claims adjudication and post payments and denials to invoices/accounts in a timely and accurate manner.
• Reconcile accounts and resolve issues related to posting of payments and charges, insurance denials, secondary billing issues, etc.
• Respond to assigned correspondence in a timely, professional, and complete manner.

Job description

UNC Health Care in Chapel Hill, NC is seeking a claims follow-up specialist to join the Shared Services Patient Accounting team. You will handle submission, follow-up, denials, and re-bills of insurance claims to ensure timely payments and accurate postings.

The role requires at least two years of hospital or physician insurance experience, a high school diploma, and a commitment to accuracy, teamwork, and UNC Health's mission.