Account Receivable Representative (Government)
About the role
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 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.
Responsibilities
- Perform patient and insurance for various revenue cycle activities; such as working rejections, no activity follow up accounts, registration-related functions, eligibility inquiries and other activities that contribute to AR/Account Resolution.
- Resolve account balance by performing revenue cycle activities, such as resolving claim edits, rejections, resolve complex Provider Level adjustments (PLBs), credit balances, applying payments and adjustments to accounts.
- 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; including demographic and insurance changes or additions; also maintain documentation within the billing system for account activity.
- Aid in tasks related to projects and in the development, coordination and review of procedures.
- Communicate with internal and external constituencies 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 competent and professional manner in a fast paced atmosphere.
- Ability to solve problems independently with limited direction from the supervisor.
Education, Experience, or Certifications
- High School Diploma or GED required.
- Previous experience with physician billing required.
- Previous experience using electronic medical records (EMR) 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.
- Previous Epic EMR experience preferred.
- Previous experience working all Government Payors including but not limited to Medicare, Medicare Advantage Plans, Medicaid and Medicaid MCO’s preferred.
- Experience with Physician AR follow-up required.
- Experience working with UB04 and/or CMS 1500 required.
Licenses And Certifications
- Medical terminology certification preferred.
- CPT certification preferred.
Technical Knowledge Or Skills
- Proficiency with Microsoft Office suite required.
- PC experience which includes spreadsheets, word processing, presentations, and databases.
- Interpret documents such as, but not limited to encounter forms, medical records, physician documentation, lab reports, dictated reports, operating instructions, and policy/procedure manuals.
- Comprehensive knowledge of federal and state regulations regarding reimbursement.
- Working knowledge of healthcare billing and clinical systems.
Additional Responsibilities
Remote; occasional on-site presence for team meetings and trainings, thus requiring someone to be located in or around the Illinois area to travel as needed.
Pay Range
$22.17 - $32.47 hourly
Required Documents
Resume
Cover Letter
Benefit Eligibility
Yes
Union
024- Local 743, I.B.T. Clerical
Scheduled Weekly Hours
40
Job is Exempt
No
Drug Test Required
No
Health Screen Required
No
Motor Vehicle Record Inquiry Required
No
Posting Date
2026-03-30