**Description** Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: The Revenue Cycle Representative is responsible for reviewing accurate demographic, financial, and medical information from patients whom require health care services in accordance with policies and procedures in a confidential manner. Responsible for contacting insurance carriers to obtain authorizations and referral approvals for services and procedures. Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers. Submits requested medical information to insurance carrier. Responsibilities: 1. Completion of insurance verification before the date of service for scheduled and pre-registered accounts. 2. Completion of approval (pre-authorization/prior-approval) for scheduled and pre-registered accounts. 3. Responsible for maintaining work queues. 3. Access, review and respond to third party correspondence via payor websites. 4. Respond to any assigned correspondence in a timely, professional, and complete manner. 5. Maintain basic understanding and knowledge of health insurance plans, policies and procedures. 6. Meets/Exceeds Productivity and Quality standards. 7. Influences co-worker satisfaction by being self-motivated, a positive communicator, team player, and a willing and approachable resource to other co-workers. Demonstrates willingness to change to ensure continuous improvement. 8. Actively participates in departmental QA by utilizing system work queues, making a personal effort to reduce individual errors, and making corrections. Utilizes system work queues as a daily part of the registration process to minimize errors. 9. Effectively precepts new co-workers as assigned. **Other Information** Other information: **Education Requirements:** ● High School Degree **Licensure/Certification Requirements:** **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:** **Job Details** Legal Employer: NCHEALTH Entity: Shared Services Organization Unit: Pre-Arrival Unit Work Type: Full Time Standard Hours Per Week: 40.00 Salary Range: $17.94 - $25.25 per hour (Hiring Range) Pay offers are determined by experience and internal equity Work Assignment Type: Remote Work Schedule: Day Job Location of Job: US:NC:Raleigh 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. 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.