Revenue Cycle Representative

UNC Health•Chapel Hill, NC

13h•Remote

About The Position

The Revenue Cycle Representative performs complex revenue cycle duties, ranging from pre-service activities such as prior authorizations and insurance verification to post-service billing, follow-up, and collections. The current focus is pre-service insurance coverage verification: reviewing assigned work queues, validating eligibility and benefits, resolving routine coverage discrepancies, documenting findings, and escalating issues as appropriate. The role supports a positive patient financial experience and may support other revenue cycle functions or workflows as departmental, organizational, or enterprise needs evolve. Duties are performed in a manner that promotes teamwork and reflects UNC Health’s mission and philosophy.

Requirements

High school degree.
Two years of experience in hospital or physician insurance-related activities, such as verification, authorization, billing, follow-up, call-center, or collections.
Knowledge of commercial, Medicare, Medicaid, and managed care plans.
Strong attention to detail and critical-thinking skills.
Ability to manage multiple priorities and meet established productivity goals.
Intermediate technical skills, including PC and MS Office.

Nice To Haves

Epic experience.

Responsibilities

Work assigned Epic coverage verification work queues.
Verify insurance eligibility and benefits using Real-Time Eligibility (RTE) tools, payer websites, and other approved resources.
Research and resolve routine coverage verification discrepancies.
Document verification findings accurately within Epic.
Maintain productivity, quality, and service standards.
Escalate complex payer, benefit, or eligibility issues to leadership or designated subject matter experts.
Collaborate with scheduling, registration, financial counseling, and clinical departments.
Participate in training and continuous improvement activities.
Maintain compliance with organizational policies regarding privacy, confidentiality, and documentation.
Perform other revenue cycle functions and related operational duties as assigned, consistent with the job classification, training, and evolving needs of the department and enterprise.