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UNC Health
Chapel Hill, NC | Full Time
$57k-69k (estimate)
0 Months Ago
Revenue Cycle Financial Representative
UNC Health Chapel Hill, NC
$57k-69k (estimate)
Full Time | Hospital 0 Months Ago
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UNC Health is Hiring a Revenue Cycle Financial Representative Near Chapel Hill, NC

DescriptionBecome part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
This position is located at Eastowne 100 in Chapel Hill.SummaryResponsible for performing a variety of complex pre-services, financial counseling and customer service related functions for patients and/or their representative including pre-service estimates, collection of pre-payments, collection of prior debt, obtaining authorizations, addressing billing questions, establishing payment plans, screening for financial assistance, responding to MyUNCChart inquiries and other Customer Service requests for both hospital and physician services.
Responsibilities
  • Create Hospital and Physician estimates using the Epic Patient Estimator, review eligibility and benefits utilizing RTE, and obtain authorization requirements.
  • Contact patient pre-service providing benefit and patient liability education, explain the estimate cost, and attempt to secure payment and/or set expectation of payment at time of service.
  • Provide estimates to patient shoppers and clinical areas across the healthcare system. Work with clinical areas to create estimate templates, determine workflow and process, and collaborate with ISD for template creation and rollout. Provide payment plans for point-of-service (POS) collections.
  • Train clinical areas on estimate usage and patient scripting for collections, audit and provide feedback on accuracy of estimates utilizing Epic estimate reports. Track and trend collection amounts and template accuracy utilizing hospital and physician EOBs and refine process to enhance accuracy. Screen and assist patients with financial assistance, Medicaid eligibility and/or other funding sources available.
  • Monitor and track routine follow up with Medicaid and financial assistance approvals. Handles HB/PB patient inquiries to address any/all billing questions via inbound calls, MyUNCChart, patient correspondence and patient walk-ins.
  • Fulfills patient requests for itemization of charges, adding/verifying/billing insurance, establishing payment plans, payroll deductions, process adjustments, request refunds, and explain charity care policy and guidelines.
  • Initiate patient outreach on delinquent payment plans, adding accounts to existing payment plans and high risk/balance accounts. Investigate HB and PB Set off Debt Collection Act (SODCA) disputed accounts that have received a NC State Income Tax refund withhold using current and legacy billing and imaging systems. Meets with attorneys to record depositions, collaborate with the attorney general’s office and attend/participate in hearings when needed.
  • Work with Patient Relations, Risk Management for HB and PB patients who have escalated complaints or concerns. Oversee HB Client account billing and follow-up which includes validating charges and fee schedules, review and move charges, research and reconcile payments, communicate with multiple departments to answer client questions and collect payments. Work with external customers such as collection agencies, UNCPN and Hospital based clinics to address any patient concerns
Other InformationOther 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 DetailsLegal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Financial Counseling
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $18.20 - $25.86 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
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 their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Hospital

SALARY

$57k-69k (estimate)

POST DATE

05/31/2023

EXPIRATION DATE

06/22/2024

WEBSITE

www.unchealthcare.org

HEADQUARTERS

Morrisville, North Carolina

SIZE

15,000 - 50,000

CEO

Tom Murray

REVENUE

<$5M

INDUSTRY

Hospital

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About UNC Health

The UNC Health Care System is a not-for-profit integrated health care system, founded in 1998, owned by the State of North Carolina and based in Chapel Hill. It exists to further the teaching mission of the University of North Carolina and to provide state-of-the-art patient care. A distinguishing characteristic of UNC Health Care is its association with the UNC-Chapel Hill School of Medicine, a nationally eminent research institution. This relationship gives UNC Health Care a powerful pathway for moving the results of biomedical research from medical school laboratories to patient care settin ... gs. UNC Health Care has been granted broad powers by the North Carolina General Assembly to assure its management flexibility and competitiveness in a rapidly changing health care business environment. The enterprise is governed by a board of directors appointed by the University of North Carolina. More
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