Accounts Receivable Representative

3 days ago

Chicago IL United States University of Chicago (UC) Full time

Location: Chicago, IL

Job Description:

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, and 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.

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.
  • Previous Epic EMR experience preferred.
  • Previous experience working with Commercial payors preferred.

Licenses and Certifications:

  • Medical terminology certification preferred.
  • CPT certification preferred.

Technical Knowledge or Skills:

  • Proficiency with Microsoft Office suite required.

Working Conditions and Physical Requirements:

  • Office environment.

Pay Range:

  • $21.06 - $30.83 per hour

Required Documents:

  • Resume
  • Cover Letter
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