Revenue Cycle Financial Representative - Financial Counseling

*Summary*: Responsible for performing a variety of complex pre-services, financial counseling and customer service related functions for patients and/or their representative including pre-service estimates, collection of pre-payments, collection of prior debt, obtaining authorizations, addressing billing questions, establishing payment plans, screening for financial assistance, responding to MyUNCChart inquiries and other Customer Service requests for both hospital and physician services.
*Responsibilities*: 1.
Create Hospital and Physician estimates using the Epic Patient Estimator, review eligibility and benefits utilizing RTE, and obtain authorization requirements.
2.
Contact patient pre-service providing benefit and patient liability education, explain the estimate cost, and attempt to secure payment and/or set expectation of payment at time of service.
3.
Provide estimates to patient shoppers and clinical areas across the healthcare system.
Work with clinical areas to create estimate templates, determine workflow and process, and collaborate with ISD for template creation and rollout.
Provide payment plans for point-of-service (POS) collections.
4.
Train clinical areas on estimate usage and patient scripting for collections, audit and provide feedback on accuracy of estimates utilizing Epic estimate reports.
Track and trend collection amounts and template accuracy utilizing hospital and physician EOBs and refine process to enhance accuracy.
Screen and assist patients with financial assistance, Medicaid eligibility and/or other funding sources available.
5.
Monitor and track routine follow up with Medicaid and financial assistance approvals.
Handles HB/PB patient inquiries to address any/all billing questions via inbound calls, MyUNCChart, patient correspondence and patient walk-ins.
6.
Fulfills patient requests for itemization of charges, adding/verifying/billing insurance, establishing payment plans, payroll deductions, process adjustments, request refunds, and explain charity care policy and guidelines.
7.
Initiate patient outreach on delinquent payment plans, adding accounts to existing payment plans and high risk/balance accounts.
Investigate HB and PB Set off Debt Collection Act (SODCA) disputed accounts that have received a NC State Income Tax refund withhold using current and legacy billing and imaging systems.
Meets with attorneys to record depositions, collaborate with the attorney general’s office and attend/participate in hearings when needed.
8.
Work with Patient Relations, Risk Management for HB and PB patients who have escalated complaints or concerns.
Oversee HB Client account billing and follow-up which includes validating charges and fee schedules, review and move charges, research and reconcile payments, communicate with multiple departments to answer client questions and collect payments.
Work with external customers such as collection agencies, UNCPN and Hospital based clinics to address any patient concerns.
*Other Information* *Education Requirements:* ● High school diploma or GED.
*Professional Experience Requirements:* ● Two (2) years of experience in Hospital or Physician Insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections).
*Knowledge/Skills/and Abilities Requirements:* ● Excellent interpersonal, verbal and written communication skills.
● Excellent listening skills, and organizational skills.
● Advanced knowledge of UB-04, HCFA-1500’s and Explanation of Benefits (EOB) interpretation.
● Intermediate knowledge of CPT and ICD-9 codes.
● Advanced knowledge of insurance billing, collections and insurance terminology.
● Ability to work in fast pace environment and prioritize and manage multiple tasks.
● Healthcare terminology.
● Customer Service skills.
● Computer knowledge: MS Word, Excel, and Outlook.
● Knowledge of 3rd party reimbursements from insurance companies and government payers is a plus.
*Job Details* Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Financial Counseling Work Type: Full Time Standard Hours Per Week: 40.
00 Salary Range: $16.
81 - $21.
01 per hour (Minimum to Midpoint) Pay offers are determined by experience and internal equity Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: US:NC:Chapel Hill Exempt From Overtime: Exempt: No 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.
```Duties``` - Manage the revenue cycle process, including billing, collections, and accounts receivable - Review and analyze financial data to ensure accuracy and compliance with regulations - Conduct research and analysis to identify trends and opportunities for improvement - Collaborate with cross-functional teams to develop and implement strategies for revenue optimization - Utilize financial planning tools and software to track and manage revenue performance - Maintain accurate and up-to-date records of financial transactions and customer interactions - Provide exceptional customer service by addressing inquiries and resolving issues in a timely manner ```Experience``` - Bachelor's degree in Accounting, Finance, or related field - Proven experience in financial planning, account management, or related roles - Strong knowledge of asset management, cash management, and customer relationship management - Familiarity with public accounting principles and practices - Experience in sales or wealth management is a plus - Knowledge of wills, trusts, and estate law is a plus We offer competitive compensation packages and benefits, including: - Health insurance - Retirement savings plan with employer match - Paid time off and holidays If you are a detail-oriented individual with a strong background in financial planning and account management, we encourage you to apply for the position of Revenue Cycle Specialist.
Join our team and contribute to the success of our organization while advancing your career in the finance industry.
Please note that only qualified candidates will be contacted for further consideration.
Thank you for your interest in this opportunity.
Job Type: Full-time Pay: $16.
81 - $21.
01 per hour Expected hours: 40 per week Benefits: * 401(k) * Dental insurance * Health insurance * Life insurance * Paid time off * Parental leave * Retirement plan * Vision insurance Work setting: * In-person * Office Application Question(s): * What is the best email address or phone number to contact you? Education: * High school or equivalent (Required) Experience: * Hospital or Physician Insurance related activities: 2 years (Required) Work Location: In person