Accounts Receivable Representative - Military Veterans

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. 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:

• Review and resolve credit balances for various reasons, including, but not limited to refund request letters, coordination of benefit issues, charge corrections, overpayments, posting issues, and compliance projects.
• 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 (PBLs), 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.
• Pull back up needed for Insurance refund checks and mail to appropriate entities.
• 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 constituencies to obtain appropriate documentation and/or information in an effort to resolve the account.
• 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 details.
• Contacting various insurance vendors to locate/reissue checks sent to the incorrect location.
• Updating payment demographics with insurance vendors.

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 or GED 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.

Licenses and Certifications:

• Medical terminology certification preferred.
• CPT 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.

Working Conditions and Physical Requirements:

• Office/Remote.

Pay Range:

• $21.58 - $31.60 per hour.

Required Documents:

• Resume/CV
• 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.

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: 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.