Revenue Cycle Representative Senior

UNC Health; North Carolina; Remote; USD 28,000 - 39,000; Full time

Job summary

UNC Health in Chapel Hill, NC, is seeking a specialist to support the estimate template build and training efforts within Epic. This role collaborates with multiple departments to promote accurate and efficient use of the estimator tool and to support template creation across the health system.

The position involves training staff, auditing work for quality, and communicating with clinics, patients, payers, and scheduling teams.

Qualifications

• High school diploma or GED required; higher-level degree may satisfy this requirement.
• Three (3) years of experience in Hospital or Physician Insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections).
• 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.

Responsibilities

• Training – supporting new and existing employees with implementing processes
• Auditing – reviewing work to verify quality /providing feedback to users
• Communication – outreach to team members, clinic staff, and patients

Skills

Verbal communication

Written communication

MS Outlook

EOB/CPT-4/HCFA1500 knowledge

CPT & ICD-10

Insurance billing

Third-party reimbursements

Education

High school diploma or GED

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.

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 estimate template build and training team. This position will work closely with other areas to promote the accurate and efficient use of the estimator tool in Epic. Responsible for a variety of complex duties in support of estimate creation across the healthcare system. This position works with other members of the team to identify areas for estimate process improvement. Will work on estimate template build, identifies areas for increased template creation, as well as assisting with reviewing accuracy and providing training for estimate improvement. Requires substantial knowledge of insurance carrier policies, hospital and physician procedures, and practices necessary to create and revise cost estimates. This position will interact with patients, payers, registration and scheduling teams, OR & ancillary departments, offices, and billing teams. Perform all duties in a manner that promotes teamwork and reflects UNC Health Care’s mission and philosophy.

Responsibilities

• Training – supporting new and existing employees with implementing processes
• Auditing – reviewing work to verify quality /providing feedback to users
• Communication – outreach to team members, clinic staff, and patients

Other Information

Other information:

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

• 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: PFE Coverage Coordination
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $19.98 - $28.54 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.