Revenue Cycle Representative - Rex Pre-Arrival Unit
Company: UNC Health Care
Posted on: August 8, 2022
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.
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.
--- 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.
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)
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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