Revenue Cycle Representative Senior

UNC Health • Chapel Hill, NC

1d • Remote

About The Position

The Senior Revenue Cycle Representative works on the estimate template build and training team, supporting accurate and efficient use of the estimator tool in Epic. The role performs complex duties supporting estimate creation across the healthcare system, collaborates with other teams to identify process improvements, builds estimate templates, identifies opportunities to create additional templates, reviews estimate accuracy, and provides training to improve estimates. The position requires substantial knowledge of insurance carrier policies and hospital and physician procedures and practices needed to create and revise cost estimates. It interacts with patients, payers, registration and scheduling teams, operating room and ancillary departments, offices, and billing teams. All duties are performed in a manner that promotes teamwork and reflects UNC Health Care’s mission and philosophy.

The position supports new and existing employees with process implementation, audits work for quality and provides feedback, and communicates with team members, clinic staff, and patients. It is a full-time, remote role with a day-job schedule and 40 standard hours per week. The listed hiring range is $19.98–$28.54 per hour.

Requirements

• High school diploma or GED required; a higher-level degree may satisfy this requirement.
• Three years of experience in hospital or physician insurance-related activities, such as authorization, billing, follow-up, call-center work, or collections.
• Excellent written and verbal communication skills.
• Intermediate technical skills, including PC and MS Outlook.
• Advanced knowledge of Explanation of Benefits (EOB) and either or both the UB-04 for hospital billing or HCFA 1500 for professional billing.
• Intermediate knowledge of CPT and ICD-10 codes.
• Advanced knowledge of insurance billing, collections, and insurance terminology.

Nice To Haves

• Extensive knowledge of third-party reimbursements from insurance companies and government payers is a plus.

Responsibilities

• Support new and existing employees with implementing processes through training.
• Review work to verify quality and provide feedback to users.
• Communicate with team members, clinic staff, and patients.
• Build estimate templates and identify areas for increased template creation.
• Review estimate accuracy and provide training to improve estimates.
• Collaborate with other areas to promote accurate and efficient use of the estimator tool in Epic.
• Work with team members to identify estimate process improvements.
• Create and revise cost estimates using knowledge of insurance carrier policies and hospital and physician procedures and practices.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED