Revenue Cycle Financial Representative

UNC Health; Chapel Hill (NC); Remote; USD 26,000 - 37,000; Full time

Job summary

UNC Health in Chapel Hill, NC, is seeking a Remote Pre-Service Estimator to support centralized estimate lines by handling patient calls and pre-service tasks. You will verify ADT information, review hospital and physician estimates, educate patients on benefits, and assist with payment expectations.

Requires a High school diploma or GED and at least 2 years in health care billing or related customer service roles. Bilingual skills are strongly preferred to serve diverse patient populations.

Qualifications

• High school diploma or GED required; higher-level degree may satisfy.
• Two years of experience in Health Care/Insurance Authorization, Billing, Follow-Up, Call-Center, Customer Service or Collections.
• Bilingual preferred.

Responsibilities

• Ensures and verifies key ADT information (insurance verification, patient and guarantor demographics, etc.) is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy
• Actively participates in departmental quality by making a personal effort to reduce individual errors, and making corrections
• Review/Create Hospital and Physician estimates from the Epic Patient Estimator
• Provide patients with pre-service benefit education, explain the estimate cost, and attempt to secure payment and/or set expectation of payment at time of service

Skills

Bilingual

Interpersonal skills

Listening skills

Customer service

Organizational skills

Fast-paced environment

UB-04 knowledge

CPT ICD-10 knowledge

Insurance terminology

MS Word

Excel

Outlook

Education

High school diploma or GED

Tools

MS Word

Excel

Outlook

Job description

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.

*This position strongly prefers someone who is bilingual.

Summary:

Supports Centralized Estimate agent lines with incoming calls from patients. Responsible for performing a variety of pre-service tasks and customer service-related functions for patients and/or their representatives includes verifying patient information is current and accurate, creating/reviewing pre-service estimates, and collection of pre-payments. May include other duties as assigned based on business need.

Responsibilities:

1. 1. Ensures and verifies key ADT information (insurance verification, patient and guarantor demographics, etc.) is current and accurate to ensure patient safety, charging, coding, insurance processing, and billing accuracy
2. 2. Actively participates in departmental quality by making a personal effort to reduce individual errors, and making corrections
3. 3. Review/Create Hospital and Physician estimates from the Epic Patient Estimator
4. 4. Provide patients with pre-service benefit education, explain the estimate cost, and attempt to secure payment and/or set expectation of payment at time of service

Education Requirements:

• High school diploma or GED required; higher-level degree may satisfy this requirement.

Licensure/Certification Requirements:

• No licensure or certification required.

Professional Experience Requirements:

• Two (2) years of experience in Health Care/Insurance Authorization, Billing, Follow-Up, Call-Center, Customer Service, or Collections.

Preferred Knowledge/Skills/and Abilities:

• Bi-Lingual
• Excellent interpersonal, verbal and written communication skills.
• Excellent listening skills, and organizational skills.
• Customer Service skills.
• Ability to work in fast paced environment and prioritize and manage multiple tasks.
• Knowledge of UB-04, HCFA-1500’s and Explanation of Benefits (EOB) interpretation.
• Knowledge of CPT and ICD-10 codes.
• Knowledge of insurance billing, collections and insurance terminology.
• Computer knowledge: MS Word, Excel, and Outlook.

Job Details

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