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Revenue Cycle Representative - Rex Pre-Arrival Unit

Company: UNC Health Care
Location: Raleigh
Posted on: August 8, 2022

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.

Summary:

This Revenue Cycle Representative will be a member of the Pre-Services Rex Surgery team. This team is responsible for insurance verification and obtaining authorization for surgery services provided within the UNCHCS. This position is located at the Rex Pre-Arrival Unit. This position interacts will be responsible for performing a variety of complex duties, including but not limited to working with third party insurers via internet & telephone to verify patient insurance and benefits and submit necessary information to obtain authorization for scheduled services. This position interacts with patients, physician offices, financial navigators and clinic staff to ensure accurate information and communicate patient eligibility/authorization status for coordination of services. Successful candidates will be able to work independently, have strong communication skills, well organized with strong attention to detail.

Responsibilities:

--- Responsible for all aspects of authorizations including insurance verification and authorization submission for medical procedures. 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. Submit requested medical information to insurance carrier.
--- Responsible for maintaining work queues. Access, review and respond to third party correspondence via email or phone. Contact patients, physicians and insurance companies to obtain information necessary for procedure authorizations. . 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

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

Job Details

Legal Employer: NCHEALTH

Entity: UNC REX Healthcare

Organization Unit: Pre-Arrival Unit

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Schedule: Day Job

Location of Job: US:NC:Raleigh

Exempt From Overtime: Exempt: No

Keywords: UNC Health Care, Raleigh , Revenue Cycle Representative - Rex Pre-Arrival Unit, Other , Raleigh, North Carolina

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