Job Description:

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 the University and UCM department, patients, payers and other external entities to obtain the necessary information to process claims, collect cash and reduce AR.

Responsibilities:

• Creates and maintains UCPG Revenue Cycle cash deposits and logs:
  • Processes daily deposits and reporting.
  • Balances deposits to banking reports.
  • Reviews incoming mail; creates deposits for live checks.
  • Locates explanations of benefits for payments received via EFT with no ERA connection.
  • Assists manager and business analyst resolve outstanding monthly variances.

• Provides support to the Cash Application, Credit Resolution, and Data Reference teams through:
  • Working Payment Investigation to locate payments processed by Insurance Carriers, but either not posted, not received, or posted incorrectly as identified by the insurance follow up team.
  • Assisting Cash Application by ensuring all eligible payments/denials/correspondence are posted correctly and timely. This includes: Manual lockbox, ACH/ERA payments, and incoming mail.
  • Weekly processing of refund checks.
  • Back up as needed for scanning, incoming, and outgoing mail.
  • Completes tasks for these positions as assigned.

• Perform patient and insurance inquiries for various revenue cycle activities; such as working rejections, 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 (PBLs), credit balances, applying payments and adjustments to accounts.
• Responsible to make insurance follow-up phone calls to payers as well as update and process accounts/claims for submission to third party.
• 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; also maintain documentation with in 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 a competent and professional manner in a fast paced atmosphere.
• Ability to solve problems independently with limited direction from the supervisor.

Education, Experience, or Certifications:

Education:

• High School Diploma required.

 

Experience:

• Previous experience with physician billing preferred.
• Previous experience using electronic medical records systems  preferred.
• Medical terminology certification preferred.

 

Technical Knowledge or Skills:

• PC experience and MS Office (Word and Excel) required.
• Ability to communicate effectively in English, both orally and in writing.
• Ability to use or learn to use a range of position related software applications - These may include standard software packages as well as networked systems, email, the Web and other types of information.

 

Pay Range:

• $19.27 - 28.21

 

Required Documents:

• Resume
• Cover Letter

The University of Chicago is an Affirmative Action/Equal Opportunity/Disabled/Veterans Employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national or ethnic origin, age, status as an individual with a disability, protected 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 the Applicant Inquiry Form.

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