Patient Access and Billing Manager

A global higher education leader in innovative teaching, research and public service, the University of North Carolina at Chapel Hill consistently ranks as one of the nation's top public universities. Known for its beautiful campus, world-class medical care, commitment to the arts and top athletic programs, Carolina is an ideal place to teach, work and learn.

One of the best college towns and best places to live in the United States, Chapel Hill has diverse social, cultural, recreation and professional opportunities that span the campus and community.

University employees can choose from a wide range of professional training opportunities for career growth, skill development and lifelong learning and enjoy exclusive perks for numerous retail, restaurant and performing arts discounts, savings on local child care centers and special rates on select campus events. UNC-Chapel Hill offers full-time employees a comprehensive benefits package, paid leave, and a variety of health, life and retirement plans and additional programs that support a healthy work/life balance.

Campus Health (CH) is a multi-specialty ambulatory college health clinic providing quality, and affordable health care for eligible students and spouses. Annually, CH has more than 80,000 patient encounters, which includes Primary Care and Women's Health as well as specialty clinics in sports medicine, orthopedics, gynecology, physical therapy, counseling and psychological services, travel clinic and allergy clinic. Weekend acute care is provided from 8-5 PM. On site ancillary services include pharmacy, OTC pharmacy, Student Stores pharmacy, medical laboratory, and radiology.

Campus Health has been continuously accredited since 1986 by the Joint Commission of Accreditation of Health Care Organizations. All personnel are trained in the concepts and principles of Performance Improvement and serve as team members and leaders in shaping and defining the organization as it strives to provide quality and safe care.

Campus Health collaborates with Student Wellness and Campus Recreation and other Student Affairs partners to provide education and outreach to assist in keeping the campus population healthy.

Education and research comprise another important function of CH. CH provides clinical rotations and practicums for students in the School of Education, Medicine, Nursing, Pharmacy, Social Work and Public Health, Department of Medical Technology, Physical Therapy, Occupational Health and Radiology. In addition, CH serves as a research site for a number of faculty and graduate student grants and contracts, where CH staff participates with the principal investigators across a variety of medical specialties.

This position is eligible for a Sign-On Bonus of $2,000 to be paid in two installments:
- $ 1,000 within 30 days of your hire date and
- $ 1,000 12 months after hire date

The Patient Access and Billing Manager will oversee revenue cycle management of the entire third-party insurance filing process in support of reimbursement for patients and insurance payers for Campus Health, including supervising the employees in the Registration and Patient Accounts departments that are responsible for referral management, claim filing, insurance verification, and registration.

Duties included ensuring proper student eligibility, demographic and insurance information is collected at the time of check-in, verifying insurance eligibility, and obtaining any required authorizations, electronically submitting claims through a clearing house, correcting coding, following up on pending/denied claims, identifying coding trends, posting all electronic remittance advice, monitoring in-network insurance contracts to ensure proper payments are being received and reviewing monthly aging reports to identify trends and work any outstanding accounts receivable. This position will serve as expert for payer policies, procedures, and practices.

In addition, this position is responsible for ensuring all financial policies and procedures are being followed for auditing purposes, JCAHO standards for being followed for referral management and is responsible for completing payer credentialing for all new providers.

Bachelor's degree in business administration, public administration, or related business area; or equivalent combination of training and experience. All degrees must be received from appropriately accredited institutions.

Bachelor's degree in business administration, public administration, or related business area and two years of administrative management or business management experience. All degrees must be received from appropriately accredited institutions.

Strong communication and customer services skills, attention to detail and problem-solving skills, strong organizational and project management skills, ability to prioritize and manage time appropriately, ability to translate and analyze data into reports, certified professional coder and 2 years of billing experience.

Qualified applicants must be selected from the candidate pool of this posting and meet the State policy following requirements:

Only candidates for may be eligible for sign-on or retention bonuses.

This SHRA Sign-on Bonus is contingent upon budget and final eligibility determination as of the effective date of hire. All recipients must sign the Pay Back Agreement form. Additional information regarding the SHRA Sign-on Policy can be found https://oshr.nc.gov/policies/sign-and-retention-bonus-policy (or add link to UNC-CH SHRA Sign-on Retention Bonus policy)

The University is an equal opportunity employer and welcomes all to apply without regard to age, color, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, or sexual orientation. We encourage all qualified applicants to apply, including protected veterans and individuals with disabilities.