at University of Chicago in Chicago, Illinois, United States
Job Description
DepartmentBSD UCP - Revenue Cycle - Accounts Receivable Government
About the Department
The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprises the largest unit of the University, accounting for 60% of its annual budget. All physician, hospital, and clinic services are managed through the Medical Center, which is a $1.3 billion enterprise. The BSD includes the Pritzker School of Medicine, approximately 20 academic units, degree granting committees, and research centers and institutes. The BSD is located on the University's main campus in Hyde Park, ten minutes south of downtown Chicago. BSD's patient care operations are conducted primarily at the University of Chicago Hospital and clinics, which share the same campus. The University of Chicago Practice Plan (UCPP) is the central organization that supports the clinical activity of nearly 850 clinically active faculty practicing at the University of Chicago. These clinically active faculty collectively form the University of Chicago Physicians Group (UCPG). The University of Chicago Physicians' Group (UCPG) is a component of the physician practice plan for the University of Chicago. The UCPG department provides billing services for medical services provided by University physicians and manages the accounts receivable collection and reporting processes for the Biological Sciences Division (BSD) departments. Each physician is a faculty member and is based in a specified department in the BSD.
Job Information
Job Summary:
Responsible for assisting the revenue cycle team by performing one or more aspects of routine physician revenue cycle billing. Communicate and work with University and UCM departments, patients, payers and other external entities to obtain the necessary information to process claims, collect cash and reduce AR.
Responsibilities:
- Perform patient and insurance for various revenue cycle activities; such as working rejections, no activity follow up accounts, registration-related functions, eligibility inquiries and other activities that contribute to AR/Account Resolution.
- Perform revenue cycle activities to resolve the account balance, such as resolving claim edits, rejections, resolve complex Provider Level adjustments (PLBs) credit balances, applying payments and adjustments to accounts.
- Responsible to make insurance follow-up phone calls to payers to resolve missing remit file issues.
- Work with IT to resolve EDI file load errors and work with payers to resolve missing remit file issues.
- Communicate with revenue cycle experts regarding the necessary medical records and clinical and/or billing information needed from the department to resolve accounts and escalate issues when appropriate to revenue cycle experts and/or manager.
- Complete daily payment batch reconciliation and create/update accounts within the billing system; including demographic and insurance changes or additions; also maintain documentation within the billing system for account activity.
- Assist in tasks related to projects and in the development, coordination and review of procedures.
- Correspond with internal and external constituencies to obtain appropriate documentation and/or information in an effort to resolve the account.
Competencies:
- Ability to participate as a member of the staff in identifying priorities for the work unit and participate as a member of a work group or team.
- Ability to interact and communicate with clarity, tact, and courtesy with patrons, patients, staff faculty, students, and others.
- Ability to work with supervision to identify and describe work task priorities.
- Ability to recognize and resolve or refer problems and conflicts.
- Ability to negotiate and manage interpersonal communication effectively.
- Ability to understand medical terminology/documentation and basic documentation such as help screens and departmental handouts.
- Ability to handle multiple concurrent tasks in competent and professional manner in a fast paced atmosphere.
- Ability to solve problems independently with limited direction from the supervisor.
Additional Requirements
Education, Experience, or Certifications:
Education:
- High School diploma or GED required.
Experience:
- Previous experience with physician billing required.
- Previous experience using electronic medical records (EMR) systems preferred.
- Previous experience with diagnosis and CPT coding terminology required.
- Previous experience working with third party payor rules, procedures and policies in physician billing required.
- Previous Epic EMR experience preferred.
- Previous experience working all Government Payors including but not limited to Medicare, Medicare Advantage Plans, Medicaid and Medicaid MCO's preferred.
Technical Knowledge or Skills:
- Medical terminology certification preferred.
- CPT certification preferred.
Working Conditions and Physical Requirements:
- Office/Remote.
Pay Range:
- $21.06 -$30.83 hourly
Required Documents:
- Resume
- Cover Letter
When applying, the document(s) MUSTbe uploaded via the My Experience page, in the section titled Application Documents of the application.
Benefit Eligibility
Yes
Requires Compliance with University Covid-19 Vaccination Requirement
No
Pay Frequency
Hourly
Pay Range
Please refer to Additional Requirements to see the pay ranges
Scheduled Weekly Hours
40
Union
024- Local 743, I.B.T. Clerical
Job is Exempt
No
Drug Test Required
No
Motor Vehicle Record Inquiry Required
No
Health Screen Required
No
Posting Date
2024-06-12
Remove from Posting On or Before
2024-12-12
Posting Statement:
The University of Chicago is an Affirmative Action/Equal Opportunity/Disabled/Veterans and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, national or ethnic origin, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination.
Staff Job seekers in need of a reasonable accommodation to complete the application process should call 773-702-5800 or submit a request via Applicant Inquiry Form.
We seek a diverse pool of applicants who wish to join an academic community that places the highest value on rigorous inquiry and encourages a diversity of perspectives, experiences, groups of individuals, and ideas to inform and stimulate intellectual challenge, engagement, and exchange.
All offers of employment are contingent upon a background check that includes a review of conviction history. A conviction does not automatically preclude University employment. Rather, the University considers conviction information on a case-by-case basis and assesses the nature of the offense, the circumstances surrounding it, the proximity in time of the conviction, and its relevance to the position.
The University of Chicago's Annual Security & Fire Safety Report (Report) provides information about University offices and programs that provide safety support, crime and fire statistics, emergency response and communications plans, and other policies and information. The Report can be accessed online at:http://securityreport.uchicago.edu.Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637.
