Revenue Cycle Representative jobs in United States
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UNC Health · 12 hours ago

Revenue Cycle Representative

UNC Health is an inclusive organization with over 40,000 teammates dedicated to improving health and well-being. The Revenue Cycle Representative is responsible for performing complex duties related to reimbursement from patients and insurance carriers throughout the revenue cycle follow-up and collections.

Addiction TreatmentHealth CareHealth DiagnosticsHospitalNon ProfitWellness

Responsibilities

Performs complex credit analysis
Resolve credits through generating refunds and/or posting adjustments in accordance with UNC-H policies and procedures while maintaining rigorous quality and productivity standards
Research and rework returned refunds
Mail refunds to various insurance carriers, payers and patients
Ensure charges are entered/posted for billing in accordance with the patient’s chart
Ensure proper posting/distribution of patient payments
Analyze/Manage patient account for overpayments
Locate missing patient payments
Manage and maintain pre-payments for OB, Ortho surgery, DME and circumcision accounts as well as OPTH, Bariatric and ELP/Cosmetic case rate agreements
Verify eligibility using various resources: Payer websites, calls to carriers and patients
Manage Medicaid overpayments via the NC Tracks website
Manage Medicare overpayments via E-services (Medicare website)
Analyze Transplant accounts to confirm overpayments
Ensure Agency payments (NAF/Worker’s Comp./Organ Procurement) are posted correctly

Qualification

Insurance billing experienceCollections managementCredit analysisPayer policy knowledgeTeamwork

Required

High School Degree
Two (2) years of experience in hospital or physician insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections)

Company

UNC Health

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Our mission is to improve the health and well-being of North Carolinians and others whom we serve.

Funding

Current Stage
Late Stage

Leadership Team

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Chris Ellington
President UNC Health Care - Network Hospitals and EVP CFO UNC Hospitals at Chapel Hill
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Jeff Lindsay
President and Chief Operating Officer
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