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:
Responsible for the maintenance and monitoring of the denial management process by developing and maintaining systems and processes and short- and long-term goals to achieve departmental/organizational objectives.
Responsibilities:
1.
Develops and maintains systems and processes that effectively monitor staff activity and performance related to the billing, follow-up, collection and customer service aspects of the accounts receivable.
2.
Develops and maintains systems and processes that facilitate timely and accurate billing to third party payors.
Assures that all billing (paper or electronic) conform to all applicable regulations and contractual terms as stipulated by the third party payor.
3.
Reviews daily patient accounting, billing, and follow-up activity and produces summary for management staff.
Compiles weekly, monthly or quarterly activity analysis reports as defined.
Explains variances from goals, targets or budget.
4.
Maintains current knowledge and competence in all regulatory and third payor patient accounting, admission and registration requirements.
Assures that all required patient accounting forms, bill/claim formats, notices, letters and messages meet existing standards and regulatory requirements.
Conducts staff education and training related to these requirements to assure compliance.
5.
Responsible for the coordination, maintenance and monitoring of denial management processes.
In cooperation with department staff and other key departments and payers will assist or lead actions to identify and create improved procedures and solutions to increase cash flow, improve payer operational relationships and internal process improvements.
Educates and works with all relative departments to ensure consistency and accountability in denial management.
Identifies trends and maintains reporting for Director
Other Information
Other information:
Education Requirements:
Bachelor's degree (B.
A.
) from four-year college or university
Licensure/Certification Requirements:
No licensure or certification required.
Professional Experience Requirements:
Two years related experience required
Knowledge/Skills/and Abilities Requirements:
Understands and appropriately applies principles, procedures, requirements, regulations, and policies related to specialized expertise.
Job Details
Legal Employer: NCHEALTH
Entity: Shared Services
Organization Unit: Patient Accounting
Work Type: Full Time
Standard Hours Per Week: 40.
00
Salary Range: $37.
24 - $46.
56 per hour (Minimum to Midpoint)
Pay offers are determined by experience and internal equity
Work Assignment Type: Hybrid
Work Schedule: Day Job
Location of Job: US:NC:Morrisville
Exempt From Overtime: Exempt: Yes
This position is employed by NC Health (Rex Healthcare, Inc.
, d/b/a NC Health), a private, fully-owned subsidiary of UNC Health Care System, in a department that provides shared services to operations across UNC Health Care; except that, if you are currently a UNCHCS State employee already working in a designated shared services department, you may remain a UNCHCS State employee if selected for this job.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities.
All interested applicants are invited to apply for career opportunities.
Please email applicant.
accommodations@unchealth.
unc.
edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
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