Requires high school diploma and three years experience in a clerical, accounting or customer service setting including a minimum of six months work experience in CPT-4 and ICD-9 coding.

SKILLS REQUIRED: ICD-9/CPT CODING

• BILLINGS/ COLLECTIONS - TEAM B
  • Full-time, Days, 40hrs/week
    Claims Coding Specialist responsibilities are to ensure accurate and timely insurance claims payment. The CCS conducts post payment review on claim denials, including followup with payers to appeal denials or underpayments; collaborateswith Clinical Departments to address changes in regulations, reimbursement rules, claims documentation requirements, inappropriate filing or documentation patterns; reviews manual claims, determining documentation and information necessary to meet third party requirements and filing the claim for processing. The CCS has monthly meetings with coders, analyst, clinic staff and financial counselors to ensure maximum reimbursement from all payors. The primary focus of thisposition is to process claims for the department of OBGYN.
    SKILLS ALSO REQUIRED: ACCOUNTS RECEIVABLE, BILLING/COLLECTIONS, COMPUTER KNOWLEDGE, INSURANCE EXPERIENCE, MEDICAL TERMINOLOGY, MEDICARE/MEDICAID, OB/GYN
    
  
  
• BILLINGS/COLLECTIONS - TEAM E
  • Full-time, Days, 40hrs/week
    Researches and determines if carrier denial of claim is valid and if not, abstracts information from medical records to support appeal of carrier denials. Makes changes to original coding of charges in accordance with ICD-9 and CPT codes. Evaluates accounts, billing, payments, coding, and posting of accurate charges for a highly specialized and complex medical service such as transplant. Researches and resolves denied claims with carrier and patients
    
  
  

Requires high school diploma and two years of clerical experience, or an equivalent combination of education, training and experience.

• BILLINGS/COLLECTIONS - TEAM D
  • Full-time, Days, 40hrs/week
    Applicant will assist Billing and Collection Team Managers with preparation of reports, management of schedules, HR duties, and interfacing with other Managers via phone, email, and in person. Candidate must be able to work independently, have excellent time management, organizational and customer service skills. Strong Microsoft Office skills are essential. Specific duties include, but are not limited to: compiling, formatting and typing a variety of reports using office support software packages, preparing and processing business forms, answering and directing telephone calls and visitors, and maintaining schedules for supervisors. Additionally, the applicant will research, analyze, and compile data from multiple sources, monitor and manage time and attendance, HR forms and files, and other general office duties.
    
  
  

Requires high school diploma and three years experience in a clerical, accounting or customer service setting or an equivalent combination of education, training and experience.

SKILLS REQUIRED: CUSTOMER SERVICE, BILLING/COLLECTIONS, ANSWERING MULTI-LINES

• PATIENT ACCOUNTING
  • Full-time, Days, 40hrs/week
    The ideal candidate will be able to provide excellent customer service and communicate effectively by telephone and in person. The selected candidate will be able to perform proficiently in a high volume incoming call center with medicalbilling and collection knowledge. Previous experience in a medical or insurance call center is preferred. This position reports to the call center supervisor.
    
  
  

Requires high school diploma and three years experience in a clerical, accounting or customer service setting or an equivalent combination of education, training and experience.

• BILLINGS/COLLECTIONS - TEAM E
  • Full-time, Days, , 40hrs/week
    FINANCIAL COUNSELOR – This position reports to the Team E Billing Services Supervisor. Position works Surgery OR cases calling for authorizations and pre-determinations. May be called on to establish payment plans, collect payments and resolve billing questions for provided services. Communicates billing policy and procedures and third party information to staff and patients.
    SKILLS ALSO REQUIRED: CUSTOMER SERVICE, INSURANCE EXPERIENCE, PHYSICIAN BILLING, BILINGUAL- ENGLISH/SPANISH
    
  • Full-time, Days, 40hrs/week
    Financial Counselor - Interviews patients seen in clinic areas and assists with resolving billing questions for services provided by UNC P&A Physicians. Communicates third party information, UNC P&A billing procedures, and UNC P&A policies to the physicians and other employees. Coordinates Managed Care referrals and ensures that all patients referred from a clinic area to other specialty clinics have the required referral authorizations. Reviews patient charts to ensure proper and complete documentation. Collects payments from patients and establishes payment plans. Maintains activity logs, performs special projects, schedules and prepares miscellaneous reports for the clinic area and UNC P&A.
    SKILLS ALSO REQUIRED: BILLING/COLLECTIONS, CUSTOMER SERVICE, INSURANCE EXPERIENCE
    
  
  
• P&A CLINICAL BUSINESS SERVICES
  • Full-time, Days, , 40hrs/week
    Patient Representative - Responsibilities include resolution of billing problems and answering inquiries from patients, physicians and attorneys concerning delinquent accounts. The position processes adjustments to patient accounts and responds to patient related correspondence from multiple sources. Additional duties include corresponding with insurance carriers in all aspects of claim resolution.
    SKILLS ALSO REQUIRED: BILLING/COLLECTIONS, INTERNET NAVIGATION, HOSPITAL/HEALTHCARE EXPERIENCE, MS OUTLOOK, SMS, INSURANCE EXPERIENCE, ANALYTICAL SKILLS, CUSTOMER SERVICE, MAIL SORTING, THIRD PARTY BILLING, PHYSICIAN BILLING
    
  
  
• PATIENT ACCOUNTING
  • Full-time, Days, 8:00am-5:00pm
    Ideal candidate must have experience with insurance eligibility and benefits verification for governmental payers, workers compensation, and Medicare advantage plan. In addition, process management for automated bill holds ensuring criteria is met for insurance billing prior to submission of the claim. Candidate must have basic to intermediate Excel proficiency. This position reports directly to the Billing Manager.
    SKILLS ALSO REQUIRED: CUSTOMER SERVICE, INSURANCE EXPERIENCE, MS EXCEL, UB-04
    
  • Full-time, Days, 40hrs/week
    This position is a member of the Medicare Follow Up and Reimbursement Team. The ideal candidate will have a good working knowledge in areas such as, but not limited to, CMS billing and follow up policies and procedures, Part A and B Medicare benefits and patient responsibilities, COB issues, DME and hands on experience with FISS/MedA/HIQA is a plus. Applicant must be able to learn and navigate multiple computer systems, be able to communicate effectively both in person and by telephone and be a team orientated individual.
    SKILLS ALSO REQUIRED: BILLING/COLLECTIONS, INSURANCE EXPERIENCE, MEDICARE/MEDICAID, MS EXCEL, MS WORD, MEDICAL TERMINOLOGY, ICD-9/CPT CODING, CUSTOMER SERVICE
    
  • Full-time, Days, 40hrs/week
    This position reports to the Manager of Special Billing and will be responsible for Medicaid In-patient Follow-up. Candidate must have experience in hospital billing, working knowledge of Medicaid preferred. The successful applicant mustbe able to multi-task and demonstrate the ability to work in a team environment. Candidate must possess excellent analytical, communication and interpersonal skills.
    SKILLS ALSO REQUIRED: BILLING/COLLECTIONS, COMPUTER KNOWLEDGE, INSURANCE EXPERIENCE, MEDICARE/MEDICAID, HOSPITAL/HEALTHCARE EXPERIENCE
    
  • Full-time, Days, 40hrs/week
    This position reports to the Supervisor of Third Party Billing and is responsible for the daily submission of Blue Cross primary claims. Understanding of Blue Cross claims processing procedures is preferred. Ability to ensure accurate claims data by working provider and payor level edits within claims editing module. Ideal candidate should be organized, motivated to take initiative, detail oriented and have the ability to effectively prioritize responsibilities to ensure accuracy and completion of work on a daily basis.
    SKILLS ALSO REQUIRED: DATA ENTRY, ICD-9/CPT CODING, MS EXCEL, THIRD PARTY BILLING, UB-04
    
  • Full-time, Days, 40hrs/week
    This position reports directly to the Manager of Non-Gov't Follow-up Team. Applicant must demonstrate experience and knowledge with the handling of all Non-Gov't Managed Care and/or HMO payer reimbursement and/or appeal guidelines. Payers include Aetna, BCBS, Cigna, and United Heathcare. This position requires excellent oral and written communication skills along with strong interpersonal skills. The successful candidate will have the ability to manage multiple tasks and work independently.
    SKILLS ALSO REQUIRED: ANALYTICAL SKILLS, CUSTOMER SERVICE, INSURANCE EXPERIENCE, MS OUTLOOK, WRITTEN COMMUNICATION SKILLS
    
  
  
• PRE-ARRIVAL UNIT
  • Full-time, Rotating, 40hrs/week
    This position reports to the supervisor of the Pre-Arrival Unit and is responsible for verifying insurance and obtaining precertifications and authorizations for both scheduled and unscheduled encounters. Requires the analysis of insurance and demographic information to determine the appropriate actions necessary to obtain payment for services. Requires the contacting of carriers, patients, and employers via telephone or system notification. This scheduled hours for this position will be Wednesday through Friday 12-8:30pm and Saturday and Sunday from 8-4:30pm. Or, this positions hours will be 4 ten hour days to cover evening and weekends.
    SKILLS ALSO REQUIRED: COMPUTER KNOWLEDGE, INSURANCE EXPERIENCE, CUSTOMER SERVICE, DATA ENTRY, MEDICAL TERMINOLOGY
    
  • Full-time, Days, 40hrs/week
    The ideal candidate must have experience with diagnostic testing. The position responsibilities include verifying insurance and obtaining referrals/authorizations for both scheduled and unscheduled patient encounters. In addition, the position requires the analysis of insurance and demographic information to determine the appropriate actions necessary to obtain payment for services; requires contacting the patients, clinic staff, physicians and insurance payors via telephone or online websites.
    SKILLS ALSO REQUIRED: COMPUTER KNOWLEDGE, CUSTOMER SERVICE, DATA ENTRY, INSURANCE EXPERIENCE, MEDICAL TERMINOLOGY
    
  • Full-time, Days, 40hrs/week
    The ideal candidate must have experience with diagnostic testing. The position responsibilities include verifying insurance and obtaining referrals/authorizations for both scheduled and unscheduled patient encounters. In addition, the position requires the analysis of insurance and demographic information to determine the appropriate actions necessary to obtain payment for services; requires contacting the patients, clinic staff, physicians and insurance payors via telephone or online websites
    SKILLS ALSO REQUIRED: COMPUTER KNOWLEDGE, CUSTOMER SERVICE, DATA ENTRY, INSURANCE EXPERIENCE, MEDICAL TERMINOLOGY