Talent.com
Revenue Cycle Representative

Revenue Cycle Representative

UNC Health CareChapel Hill, NC, United States
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

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.

Summary :

  • Responsible for performing a variety of complex duties, including but not limited to, working outstanding insurance claims follow up for no response from payors, and / or claim denials.
  • Works physician claims ("professional billing").
  • 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.

Job Responsibilities :

  • Responsible for the accurate and timely submission of claims follow up, reconsideration and appeals, 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, write-offs, other methods.
  • Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers.
  • Submit requested medical information to insurance carrier.
  • Responsible for the analysis and necessary corrections of invoices or accounts and maintaining work queues.
  • Access, review and respond to third party correspondence.
  • 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 insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments or other methods.
  • Verify claims adjudication utilizing appropriate resources and applications.
  • 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 PB Claims 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.
  • Meet / Exceed Productivity and Quality standards.
  • Other Information

    Other information :

    Education Requirements :

  • High School Degree
  • Licensure / Certification Requirements :

    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 :

    Job Details

    Legal Employer : NCHEALTH

    Entity : Shared Services

    Organization Unit : Physician Ins Billing and Foll

    Work Type : Full Time

    Standard Hours Per Week : 40.00

    Salary Range : $17.94 - $25.25 per hour (Hiring Range)

    Pay offers are determined by experience and internal equity

    Work Assignment Type : Hybrid

    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 applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and / or to apply for a career opportunity.

    serp_jobs.job_alerts.create_a_job

    Cycle Representative • Chapel Hill, NC, United States

    Job_description.internal_linking.related_jobs
    • serp_jobs.job_card.promoted
    Revenue Specialist

    Revenue Specialist

    Calyx LivingRaleigh, NC, US
    serp_jobs.job_card.full_time
    Carillon Assisted Living, a Raleigh-based company in the business of building and operating assisted living communities, is building and opening communities for its new brand, Calyx Living.As we gr...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Mental Health Therapist

    Mental Health Therapist

    Eckerd ConnectsYanceyville, NC, US
    serp_jobs.job_card.full_time
    Copy & paste the link into your browser : .Eckerd Connects is a drug-free workplace and utilizes E-verify to confirm employment eligibilit.serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Tax Associate - Onsite - 2+ Yrs Paid Tax Experience Required

    Tax Associate - Onsite - 2+ Yrs Paid Tax Experience Required

    IntuitCREEDMOOR, NC, United States
    serp_jobs.job_card.full_time
    Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Revenue Supervisor

    Revenue Supervisor

    Government JobsPittsboro, NC, US
    serp_jobs.job_card.full_time
    Chatham County Tax Department is seeking a motivated and experienced professional to lead the daily operations of our Collections Division. Chatham County offers the best-in-class benefits and gener...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Tax Preparer - Local

    Tax Preparer - Local

    IntuitCREEDMOOR, North Carolina, United States
    serp_jobs.job_card.full_time
    Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Seasonal Tax Associate - Local

    Seasonal Tax Associate - Local

    IntuitCREEDMOOR, North Carolina, United States
    serp_jobs.job_card.full_time
    Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Drive with DoorDash - Flexible Schedule

    Drive with DoorDash - Flexible Schedule

    DoorDashProspect Hill, NC, United States
    serp_jobs.job_card.full_time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a var...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Tax Associate - Onsite

    Tax Associate - Onsite

    IntuitCREEDMOOR, North Carolina, United States
    serp_jobs.job_card.full_time
    Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Drive with DoorDash - Receive 100% of Customer Tips

    Drive with DoorDash - Receive 100% of Customer Tips

    DoorDashCedar Grove, NC, United States
    serp_jobs.job_card.full_time +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a var...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Travel Echo Tech

    Travel Echo Tech

    CrossMed HealthcareOxford, NC, US
    serp_jobs.job_card.full_time
    CrossMed Healthcare is seeking an experienced Echo Tech for an exciting Travel Allied job in Oxford, NC.Shift : Inquire Start Date : ASAP Duration : 12 weeks. CrossMed Healthcare specializes in connect...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Revenue Cycle Financial Representative

    Revenue Cycle Financial Representative

    UNC Health CareChapel Hill, NC, United States
    serp_jobs.job_card.full_time
    Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Responsible for performing a variety of...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Manager, Revenue Cycle Services

    Manager, Revenue Cycle Services

    North American Partners in AnesthesiaRaleigh, NC, US
    serp_jobs.job_card.full_time
    Manager Of Revenue Cycle Services.The Manager of Revenue Cycle Services is responsible for the direct oversight of the Accounts Receivable (AR) team, including specialized units such as Credit Bala...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    Revenue Cycle Analyst

    Revenue Cycle Analyst

    VirtualVocationsRaleigh, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for a Revenue Cycle Analyst I.Key Responsibilities Manage claims and ensure timely submission of insurance claims while maintaining billing accuracy Review system dashboards...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Tax Professional - 2+ Yrs Paid Tax Experience Required

    Tax Professional - 2+ Yrs Paid Tax Experience Required

    IntuitCREEDMOOR, North Carolina, United States
    serp_jobs.job_card.full_time
    Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    • serp_jobs.job_card.new
    Tax Preparer - 2+ Yrs Paid Tax Experience Required

    Tax Preparer - 2+ Yrs Paid Tax Experience Required

    IntuitCREEDMOOR, North Carolina, United States
    serp_jobs.job_card.full_time
    Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Associates in one of our new TurboTax locations across the United States on...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
    • serp_jobs.job_card.promoted
    Regional HR Business Partner-Southern U.S. Field Operations

    Regional HR Business Partner-Southern U.S. Field Operations

    Vaco by HighspringWake Forest, North Carolina, United States
    serp_jobs.job_card.permanent
    Regional HR Business Partner-Southern U.Regional Travel throughout North Carolina, South Carolina, and Georgia.Based in Raleigh-Durham Metro-Area, NC OR Charlotte-Metro Area, North Carolina.Onsite ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Tax Expert - Onsite

    Tax Expert - Onsite

    IntuitCreedmoor, NC, United States
    serp_jobs.job_card.full_time
    Intuit is seeking highly motivated individuals to join our dynamic team as dedicated TurboTax Live Seasonal Local Service Experts in one of our new TurboTax locations across the United States on a ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
    • serp_jobs.job_card.promoted
    Certified Revenue Cycle Specialist

    Certified Revenue Cycle Specialist

    VirtualVocationsDurham, North Carolina, United States
    serp_jobs.job_card.full_time
    A company is looking for an Accounts Receivable Specialist.Key Responsibilities Track insurance payments and resolve payment issues using EPIC Work on process improvements, appeals, and account ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30