Revenue Cycle Financial Representative

Description

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary:

This position reports to the Supervisor of Payment Posting and is responsible for accurately posting insurance and patient payments, denials, contractual adjustments, and other payment transactions to patient accounts. In addition to standard payment posting responsibilities, this role serves as an advanced resource for complex payment posting activities, including Provider-Level Balance (PLB) transaction research and resolution, payment reconciliation, payment variance analysis, and other high-level insurance payment research requests.

The Revenue Cycle Financial Representative Payment Poster is responsible for researching and resolving payment discrepancies by reviewing Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), payer correspondence, financial documentation, and system data to ensure accurate reimbursement and account integrity. This position works collaboratively with internal departments and insurance carriers to resolve complex payment issues, reconcile unapplied funds, process requested adjustments, and ensure payments are distributed accurately and timely.

Responsibilities include identifying payment trends, researching payer behaviors that impact payment posting accuracy, resolving PLB transactions, assisting with payment balancing and reconciliation activities, and providing subject matter expertise for complex payment posting scenarios. The individual is expected to recommend process improvements that increase efficiency, reduce posting errors, and improve overall revenue cycle performance.

The successful candidate must possess strong analytical, problem-solving, and critical thinking skills with the ability to independently prioritize multiple assignments in a fast-paced environment. The position requires exceptional attention to detail, strong organizational skills, and the ability to interpret and analyze complex financial and insurance documentation. Excellent customer service, written and verbal communication, grammar, and English usage skills are required, along with the ability to work effectively with insurance carriers, internal stakeholders, and team members to resolve challenging payment issues.

This position must demonstrate proficiency in reading and interpreting EOBs, ERAs, PLB transactions, payer remittance advice, and various financial and insurance documents. The individual serves as a resource to teammates by sharing knowledge, assisting with complex payment posting questions, and supporting departmental initiatives that promote accuracy, consistency, and operational excellence.

Consistently contributes to meeting or exceeding established departmental productivity and quality standards while maintaining a high degree of accuracy. Must be prepared to work a designated schedule during the last two business days of each month in support of monthly financial close and departmental production goals.

Other information:
Education Requirements:
* High school diploma or GED.
Licensure/Certification Requirements:
* No licensure or certification required.
Professional Experience Requirements:
* Two (2) years of experience in Hospital or Physician Insurance related activities or Call Center Customer Service experience. (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.

Legal Employer: NCHEALTH

Entity: Shared Services

Organization Unit: Cash Management

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range:$18.84 - $26.77 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Hybrid

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 race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

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.