Revenue Cycle Rep - Physician Ins Billing and Foll

Company: UNC Health Care
Location: Chapel Hill
Posted on: April 3, 2021

Job Description:

Welcome to the UNC Health Career site! We have been hard at work to improve our job searches and application systems to better serve you. It will now be easier to find and apply for jobs as well stay connected with UNC Health. Here are a few of the updates you may notice effective December 11th:

• All Applicants - After December 11th, external applicants (i.e., not an active UNC Health employee) will no longer be required to create a log in and password before they apply for a job. After December 13th, once external applicants find a job, they can simply click "Apply Now" to submit a job application. You'll be able to check the status of your application in real time by following the directions in your confirmation email.
• Job Alerts - If you had previously registered for our job alerts, set-up job alerts, or wish to receive these notifications, please re-register by clicking the light blue "Set-Up Job Alert" button on the "Search Jobs" page.
• Current UNC Health Employees - Effective December 13th, if you are a UNC Health employee, select the light blue "Current Employees" button in the center of this career home page to access our internal "Current Employees" job board. Current employees will log-in using their employee log-in credentials.
  
  *Please note: The Discovery Employee Referral Program will be temporarily unavailable. Due to the recent switch in our HR and application systems, our HR team is working hard towards implementing a new and improved, mobile friendly Employee Referral solution. More details are to come soon! Thank you for your patience. / Job Search / Revenue Cycle Rep - Physician Ins Billing and Foll Revenue Cycle Rep - Physician Ins Billing and Foll Job ID: 422
  Location: Chapel Hill, NC
  Facility/Division: Shared Services
  Status: Full Time
  Shift: Day Job
  Responsible for performing a variety of complex duties, including but not limited to, working outstanding insurance claims having no response from payors, having claim edits, and/or having received claim form related denials. Maintains A/R at acceptable aging levels by prompt follow-up of unpaid claims and denied claims. Performs all duties in a manner which promotes teamwork and reflects UNC Health Care's mission and philosophy. Description of Job Responsibilities: --- Responsible for the accurate and timely submission of claims, response to denials, and re-bills of insurance claims, and all aspects of insurance follow-up and collections including interfacing with internal and external departments to resolve discrepancies through charge corrections, payment corrections, writeoffs, refunds or other methods. --- Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority (or escalate as needed) 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. Submits requested medical information to insurance carrier. --- Responsible for the analysis and necessary corrections of patient invoices or accounts as it pertains to clean claim submissions or re-bills, and maintaining work queues. Access, review and respond to third party correspondence via Document Management system. --- Research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, 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 utilizing appropriate resources and applications. Post payments (Insurance and/or Patient) and denials to patient invoices/accounts in a timely and accurate manner. Reconcile accounts, research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, sequencing of charges, and non-payment of claims. --- Respond to any assigned correspondence in a timely, professional, and complete manner. Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues. May maintain data tables for systems that support Patient Accounting operations. Evaluate carrier and departmental information and determines data to be included in system tables --- Read and interpret EOB's (Explanation of Benefits). Maintain basic understanding and knowledge of health insurance plans, policies and procedures. Accurately and thoroughly document the pertinent collection activity performed. Participate and attend meetings, training seminars and in-services to develop job knowledge. Meets/Exceeds Productivity and Quality standards Qualifications: High School diploma or GED. One (1) year of experience in Hospital or Physician Insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections) Other Information Legal Employer: Entity: Shared Services
  Organization Unit: Work Type: Full Time
  Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: Not Applicable 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. This is not a State employed position. The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians. UNC Health is an equal opportunity employer. As such, UNC Health offers equal employment opportunities to applicants and employees without regard to race, color, religion, sex, national origin, age, genetic information, disability, sexual orientation, gender identity or political affiliation. To verify employment eligibility, UNC Health is committed to Form I-9 and the E-Verify process. Learn further E-Verify details in English or Spanish . UNC Health supports your right to work. View the Right to Work Statement in English or Spanish . Copyright 2021 UNC Health Care. All rights reserved.

Keywords: UNC Health Care, Chapel Hill , Revenue Cycle Rep - Physician Ins Billing and Foll, Healthcare , Chapel Hill, North Carolina