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https://illinoisjoblink.illinois.gov/jobs/11846672 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
acc unts 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