DescriptionBecome 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:Provides assistance to patients and family members regarding understanding of their insurance coverage and personal responsibility for infertility treatments, establishing arrangements to provide payments for services provided. Ensures all insurance requirements are met prior to patients' arrival and informs patients of their financial liability prior to arrival for services.Responsibilities:
Determine what, if any, insurance coverage a patient has toward infertility treatment.
Calculate and collect payments from patients.
Request insurance authorizations.
Communicate with patients in a timely manner on a daily basis through the patient portal and phone.
Inform physicians and clinical team when a patient has financially cleared.
Admit, register and pre-register patients with accurate patient demographics and financial data.
Calculate and collect payments from patients for hospital and faculty physicians. Set up payment arrangements. Reconcile daily money collected. Work with collections agencies to resolve balances and/or collect payments.
Refer patients to the Manufacturer Drug program as needed for medications.
Request insurance authorizations for medical and dental procedures via online portal or by phone. Enter authorizations in various systems. Provide estimates using the passport estimator for future services to help determine patient's liability. Screen patients for charity care, COBRA and Medicaid. Help complete applications as needed. Work with third party payers for copay assistance. Submit forms for prior authorizations.
Review and explain claim rejections on patient's accounts. Help resolve patient balance issues and questions.
Other InformationEducation Requirements:● High School diploma or GEDLicensure/Certification Requirements:● No licensure or certification required.Professional Experience Requirements:● Two (2) years of experience working in hospital/clinical services access or billing and collections insurance.Knowledge/Skills/and Abilities Requirements:● Excellent communication skills, oral and written. Ability to analyze data, perform multiple tasks and work independently. Must be able to develop and maintain professional, service-oriented working relationships with patients, physicians, co-workers and supervisors. Must be able to understand and comply with policies and procedures.Job DetailsLegal Employer: STATEEntity: UNC Faculty PhysiciansOrganization Unit: FP UNC Fertility ClinicWork Type: Full TimeStandard Hours Per Week: 40.00Salary Range: $18.20 - $25.86 per hour (Hiring Range)Pay offers are determined by experience and internal equityWork Assignment Type: OnsiteWork Schedule: Day JobLocation of Job: US:NC:RaleighExempt From Overtime: Exempt: NoThis is a State position employed by UNC Health Care System.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 [email protected] if you need a reasonable accommodation to search and/or to apply for a career opportunity.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.