UNC Health · 23 hours ago
Revenue Cycle Representative
Triangle Area
Full-time
Hybrid
Entry, Mid Level
$18.12/hr - $25.51/hr
2+ years expUNC Health is an inclusive organization dedicated to improving the health and well-being of communities. The Revenue Cycle Representative is responsible for performing complex duties related to insurance claims follow-up, denials, and maintaining acceptable accounts receivable levels.
Addiction TreatmentHealth CareHealth DiagnosticsHospitalNon ProfitWellness
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
Qualification
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
Our mission is to improve the health and well-being of North Carolinians and others whom we serve.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Chris Ellington
President UNC Health Care - Network Hospitals and EVP CFO UNC Hospitals at Chapel Hill
Jeff Lindsay
President and Chief Operating Officer
Recent News
2025-09-12
Seattle TechFlash
2025-04-22
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