Location: Chapel Hill, NC
Company: UNC Health
with prior authorizations and insurance verification to post-service with billing, follow-up and collections. Requires substantial knowledge of all carrier policies, procedures and practices necessary to collect carrier accounts receivable and resolve denials.
Participates and assists in special projects. Assists new or existing staff with training or techniques to increase production and quality as well as provide support for the team members that may be absent or backlogged. Perform all duties in a manner which promotes teamwork and reflects UNC Health Care's mission and philosophy. Responsibilities: 1. Appeals & Managed Care Escalations: Project Manage all 3rd party appeals including
researching and determining if carrier denial of claim is valid and if not, abstracts information from medical records to support appeal of denial. Works in conjunction with appropriate resources (Coding, HIM or clinicians) to ensure that appeal is effective and is responsible for performing charge corrections / coding changes in accordance with all (internal and external) regulatory and coding guidelines/policies.
Facilitate monthly Provider Calls and Managed Care Escalations.2. Training & Backup: Supports management in onboarding new hires and providing technical support to existing staff to ensure that time to productivity is minimal and quality is optimal. Will be available to step
in to alleviate any operational impacts associated with turnover or other staffing-related issues.3.
Patient & Provider Follow-up: Will review, resolve and if necessary escalate to management patient-level issues stemming from contested charges, Risk Management or Patient Relations.4. Reviews Cosmetic & Elective account agreements to ensure accurate postings and processing by carriers. Troubleshoots self-pay payment issues including credit card charge-back notices and NSF checks.5. Credit Management: Performs complex remit processing (PLB's, FB's, WO's) and serves as back-up to input deposits into cash databases. Reviews and processes insurance credits to resolve credit balances through refunds or posting adjustments.
Compiles Medicare/Medicaid Cash Reports and quarterly Credit Balance reports.6. Payor Audits & Pro-Active Medical Records Requests: Oversee and document all submissions pertaining to payor-generated pre-payment audits and/or medical records requests.7. AR Reduction & Quality Review Projects: Identifies and project manages higher-level AR Reduction projects. Assists management with quality audits including reviewing and approving adjustment requests at their approved level.8. Analysis: Uses available reporting tools to analyze, trend/quantify and if necessary escalate to appropriate stakeholders to drive improvements in preventing denials or resolving aging accounts.9.
Research & Transplant: performs charge reviews, follow-up and payment allocations for HB & PB Transplant Services. Reviews and corrects billing issues with Research Accounts to ensure proper billing.10. Other: Responsible for processing Part B split claims. Accurately and thoroughly document the pertinent collection or follow-up activity performed. Meets/Exceeds Productivity & Quality Standards. Escalates issues to senior team members and/or management those issues impacting successful account resolution.
Other Information Other information: Education Requirements: High school diploma or GED. Licensure/Certification Requirements: No licensure or certification required. Professional Experience Requirements: Three (3) years of experience in Hospital or Physician Insurance related activities (Authorization, Billing, Follow-Up, Call-Center, or Collections). Knowledge/Skills/and Abilities Requirements: Excellent written and verbal communication skills. Intermediate technical skills including PC and MS Outlook. Advanced knowledge of Explanation of Benefits (EOB) and EITHER or BOTH the UB-04 for Hospital Billing or the HCFA 1500 for Professional Billing Intermediate knowledge of CPT and ICD-10 codes.
Advanced knowledge of insurance billing, collections and insurance terminology. Extensive knowledge of 3rd party reimbursements from insurance companies and government payers is a plus. Job Details Legal Employer: NCHEALTHEntity: Shared Services Organization Unit: Pre-Arrival Unit Work Type: Full Time Standard Hours Per Week: 40.00Salary Range: $18.07 - $22.59 per hour (Minimum to Midpoint)Pay offers are determined by experience and internal equity Work Assignment Type: Remote 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, interaction, interactionual 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 if you need a reasonable accommodation to search and/or to apply for a career opportunity. PDN-9ad5bf9e-b727-47d7-9493-c42eed109b13
Other Jobs refers to employment positions that do not fall within the standard categories of work normally listed or discussed. These jobs can be unique, unconventional, or specialized, often requiring a diverse skillset or catering to niche markets. They stand out for their distinct nature, offering opportunities for individuals with unique talents or interests to engage in work that may not conform to traditional job roles. Other Jobs can provide flexibility, the potential for creativity, and a departure from the routine, appealing to those seeking a less conventional career path.
Other Jobs refers to employment positions that do not fall within the standard categories of work normally listed or discussed. These jobs can be unique, unconventional, or specialized, often requiring a diverse skillset or catering to niche markets. They stand out for their distinct nature, offering opportunities for individuals with unique talents or interests to engage in work that may not conform to traditional job roles. Other Jobs can provide flexibility, the potential for creativity, and a departure from the routine, appealing to those seeking a less conventional career path.
coverage, life insurance, retirement plan, employee assistance programs, company discounts, perks and more for most full-time positions! As an Armed Security Officer you will serve and safeguard clients in a range of industries such as Commercial Real Estate, Healthcare, Education, Government and more.
Mon - Fri (8:00am - 6pm) Part Time Must be 21 and Over Security Experience 2 years Pervious Law Enforcement or Military Experience Access Control Customer Service Escorts as Needed $20.00 / Hour Conducts hourly armed patrols of secure locations throughout the Raleigh/Durham area, and potentially as far as Mebane or Rocky Mount. Requires flexible availability, and the ability to sometimes
work nights and/or weekends Responsibilities: Provide customer service to our clients by carrying out safety and security procedures, site-specific policies and when appropriate, emergency response activities Respond to incidents and critical situations in a calm, problem solving manner Conduct regular and random patrols around the business and perimeter.
Working environments and conditions may vary by client site. Minimum Requirements: Be at least 21 years of age for armed roles Possess a high school diploma or equivalent, or 5 years of verifiable experience As a condition of employment, applicants will be subject to a background investigation in accordance with all federal, state, and
local laws. Allied Universal will consider qualified applications with criminal histories in a manner consistent with applicable laws.
As a condition of employment, applicants will be subject to a drug screen to the extent permitted by law. Participate in industry specific security/safety training programs Licensing requirements are subject to state and/or local laws and regulations and may be required prior to employment. A valid driver's license will be required for driving positions only Perks and Benefits: Health insurance and 401k plans for full-time positions Schedules that fit with your personal life goals Ongoing paid training programs and career growth opportunities Employee discounts through our perks program to your favorite restaurants, entertainment venues and much more.
Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, interaction, interactionual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: If you have any questions regarding Equal Employment Opportunity, Affirmative Action, Diversity and Inclusion, have difficulty using the online system and require an alternate method to apply, or require an accommodation at any time during the recruitment and/or employment process, please contact our local Human Resources department.
To find an office near you, please visit: /offices.
equipment is in good working condition and properly set up for the anesthesia procedure. Monday- Friday, 8 hour shifts, (10:00pm-6:30am) rotating days off a week, weekends, and holidays. This position qualifies for a generous benefit package including PTO accrual based upon the number of hours hired to work 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: Performs technical work in setting up, calibrating and troubleshooting anesthesia equipment assisting the Anesthesiologist or CRNA with placing invasive and non- invasive monitoring devices on patients, ensuring
necessary equipment is in good working condition and properly set up for the anesthesia procedure. Responsibilities:1. Assists the Anesthesiologist or CRNA with invasive and non-invasive monitoring devices on patients and positioning and transport of patients.
Prepares fluids and setups for use and observes sterile technique during line placement. Assists with the preinduction, induction, maintenance and extubation /transport of all phases of an anesthetic, anticipating anesthesia care team needs. Correctly labels and handles specimens to be sent to the laboratory. Uses personal protective equipment, handles sharps safely and practices laser safety.2. Performs quality control and troubleshooting
on assigned anesthesia equipment. Maintains equipment in good working order through 12 point inspection.
Checks for sterility, date of expiration and any holes/tears in packaging of supplies. Checks and labels fluids/medications accurately, discards outdated/unlabeled fluids and medications. Completes department Quality Assurance program for anesthesia equipment.3. Sets up anesthesia equipment and supplies. Cleans equipment with approved solution daily, practices scrupulous scope care and documentation according to policy and assures anesthesia equipment is clean before it's use in OR. Prioritizes clinical activities appropriately. Demonstrates both proper use of equipment and knowledge of anesthesia circuits and supplies.
Restocks cabinets/ADS supplies and returns unused supplies/equipment to appropriate locations. Other Information Other information: Education Requirements: Graduation from an accredited Anesthesia Technician program (or equivalent combination of education, training and experience). Licensure/Certification Requirements: Basic Life Support certification required. Professional Experience Requirements: If graduation from an accredited Anesthesia Technician program: No prior experience required. If a High School diploma or GED: six months of operating room experience in calibration, maintenance, and repair of anesthesia equipment or similar equipment, or related experience in a hospital/healthcare setting.
To be considered as a Trainee: One (1) year of operating room experience involving direct patient care and/or equipment maintenance and calibration. Knowledge/Skills/and Abilities Requirements: Job Details Legal Employer: STATEEntity: UNC Medical Center Organization Unit: Anesthesia Support Work Type: Full Time Standard Hours Per Week: 40.00Work Schedule: Evening Job Location of Job: US: NC: Chapel Hill Exempt From Overtime: Exempt: No This is a State position employed by UNC Health Care System.
Qualified applicants will be considered without regard to their race, color, religion, interaction, interactionual 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 if you need a reasonable accommodation to search and/or to apply for a career opportunity. PDN-9ad5bf4b-80ae-463e-9995-4619a22ef053
