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    Accounts Receivable Representative - Chicago, United States - University of Chicago

    University of Chicago
    University of Chicago Chicago, United States

    1 week ago

    Default job background
    Description
    Department

    BSD UCP - Revenue Cycle - Cash Application

    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 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:

    • Research missing payments via invoices routed to Epic WQs by follow up staff, including, but not limited to:
    • Reviewing and understanding the cash receivables process.
    • Reviewing and understanding how payments are posted within the Epic System.
    • Accessing various insurance portals to review payment/denial details.
    • Contacting various insurance vendors to locate/reissue checks sent to the incorrect location.
    • Updating payment demographics with insurance vendors.
    • Review and correct potential payment posting issues identified by the follow up staff.
    • Ensures all eligible payments received are posted correctly and timely. This includes manual lockbox and ACH payments.
    • Perform patient and insurance inquiries for various revenue cycle activities; such as working denials, no activity follow-up accounts, registration related functions, eligibility inquires, 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 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.
    • Responsible for following up with payors and/or vendor websites to obtain documentation not received with payment.
    • Assist in tasks related to projects and in the development, coordination and review of procedures.
    • Correspond with internal and external constituents 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.
    Additional Requirements


    Education, Experience, or Certifications:

    Education:

    • High School Diploma required.

    Experience:

    • Previous experience with physician billing required.
    • Previous Epic Experience preferred.
    • Previous experience using electronic medical records 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.
    • 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 required.
    • Ability to use or learn to use a range of position related software applications required.
    • These may include standard software packages as well as networked systems, email, the internet and other types of information required.

    Working Conditions and Physical Requirements:

    • Office environment.

    Pay Range:
    * $ $30.83 hourly


    Required Documents:

    • Resume (required)
    • Cover Letter (required)


    When applying, the document(s) MUST be 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

    Remove from Posting On or Before


    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 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:
    Paper copies of the Report are available, upon request, from the University of Chicago Police Department, 850 E. 61st Street, Chicago, IL 60637.
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