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BSD UCP - Revenue Cycle - Accounts Receivable Non 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. Work with University and UChicago Medicine (UCM) departments, patients, payers other external entities to obtain the necessary information to process claims to collect cash and reduce accounts receivable.

Responsibilities:

• Perform patient and insurance inquiries for various revenue cycle activities such as working rejections/denials, no activity follow up accounts, registration-related functions, eligibility inquiries, and other activities that contribute to AR/account resolution.
• Make insurance follow-up phone calls to payers.
• Perform revenue cycle activities to resolve the account balance such as resolving claim edits, rejections/denials, credit balances and applying payments and adjustments to accounts.
• Create and update accounts within the billing system including demographic and insurance changes or additions, and update and process accounts/claims for submission to third party.
• Maintain documentation within the billing system for account activity. Assists in the development, coordination and review of procedures and assists in tasks related to projects.
• Escalate issues when appropriate to revenue cycle experts and/or manager.
• Correspond with internal and external constituencies to obtain appropriate documentation and/or information in an effort to resolve the account.
• Communicate with revenue cycle experts regarding the necessary medical records and clinical and/or billing information needed from the department to resolve accounts.

Competencies:

• Demonstrated ability to interact and communicate with clarity, tact, and courtesy with patrons, patients, staff faculty, students, and others.
• Demonstrated 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.
• Demonstrated ability to work independently and with supervision to identify and describe work task priorities.
• Demonstrated ability to communicate effectively in English, both orally and in writing.
• Demonstrated ability to recognize, resolve or refer problems and conflicts; critical thinking/ problem solving.
• Demonstrated ability to negotiate and manage interpersonal communication effectively.
• Demonstrated 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 structures. Demonstrated ability to read and understand basic documentation such as Help screens and departmental handouts.

Additional Requirements

Education, Experience, or Certifications:

Education:

• High School Diploma required.

Experience:

Previous experience with physician billing required.

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 experience using electronic medical records (EMR) systems preferred.

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