Revenue Cycle Representative Senior - Patient Accounting

Job Description

Description

Become 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.

The current Senior Revenue Cycle opening is in Patient Financial Services/Cash Posting.

Summary:
Responsible for performing a variety of complex duties in support of reimbursement from patient and insurance carriers throughout the revenue cycle from pre-service with prior authorizations and insurance verification to post-service with billing, follow-up and collections. Requires substantial knowledge of all carrier policies, procedures and practices necessary to collect carrier accounts receivable and resolve denials. Participates and assists in special projects. Assists new or existing staff with training or techniques to increase production and quality as well as provide support for the team members that may be absent or backlogged. Perform all duties in a manner which promotes teamwork and reflects UNC Health Care's mission and philosophy.

Responsibilities:

1. Knowledge of electronic and manual payment posting processes in a high-volume environment for patient and third-party payments required. Ability to work variety of payer issues related to remit reconciliation.

2. Training & Backup: Supports management in onboarding new hires and providing technical support to existing staff to ensure that time to productivity is minimal and quality is optimal. Will be available to step in to alleviate any operational impacts associated with turnover or other staffing-related issues.
3. Patient & Provider Follow-up: Will review, resolve and, if necessary, escalate to management patient or provider payment issues.
4. Reviews Cosmetic & Elective accounts to ensure accurate postings and patient liability. Troubleshoots self-pay payment issues including payment research, credit card charge-back notices, vendor file reconciliations and NSF checks.
5. Credit Management: Performs complex remit processing (PLB's, FB's, WO's) to ensure accurate and timely application to accounts.

6. AR Reduction & Quality Review Projects: Identifies and manages higher-level AR Reduction projects. Assists management with quality audits including reviewing and approving adjustment requests at their approved level.
8. Analysis: Uses available reporting tools to analyze, trend/quantify and if necessary, escalate to appropriate stakeholders to drive improvements in cash posting, payment research or offset review.
9. Other: Meets/Exceeds Productivity & Quality Standards. Escalates issues to senior team members and/or management those issues impacting successful account resolution. Able to step into any other function as needed for cash related processes. Serves as part of team responsible for daily capture and notification of deposits.

Other Information

Other information:
Education Requirements:
• High school diploma or GED.
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: Patient Accounting

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $19.11 - $27.16 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 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 [email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.