Billing Analyst I, Full-Time Days

About the role

Be a part of a world-class academic healthcare system at UChicago Medicine as an Billing Analyst I in the Pharmacy Department. Under the direction of the Executive Director, Ambulatory Pharmacy Business Development and the Director, Pharmacy Contracting, Finance, and Metrics, the Billing Analyst I monitors billing operations for ambulatory pharmacy accounts payable and other business metrics.

Responsibilities

• Maintain accurate billing operations for ambulatory and specialty third party charges
• Identify and address reimbursement losses from third party payers
• Follow departmental policies, procedures, and billing regulations such as LMRPs, APCs, diagnosis coding and documentation
• Interface with Nursing, Vendors, and Supply Chain to reconcile discrepancies in charge and procedural documentation
• Enter new product information into Supply Chain to ensure correct accounts and billing codes have been assigned
• Audit charts to verify charge documentation, identify patterns, and make recommendations for workflow changes to reduce charge capture issues
• Assist in resolving charge disputes or third-party audits
• Perform other duties related to revenue capture and reimbursement as assigned

Requirements

• Bachelor’s degree
• Minimum 1-3 years’ experience with pharmacy or hospital billing operations
• Proven working knowledge of CPT and ICD-9 coding systems required (certification required within twelve months of job hire: CPC, RHIT, RHIA or any combination)
• Successful completion of medical terminology class
• Familiarity with large healthcare information systems (past experience with IDX, OACIS, EPIC and/or Last Word preferred)
• Experience in PC based spreadsheets and word processing
• Analytical skills and excellent written and verbal communications
• Demonstrated experience in managing interpersonal relationships and handling multiple priorities effectively

Qualifications

• Must be analytical and have excellent written and verbal communications
• Must be able to manage multiple priorities effectively
• Must have proven working knowledge of CPT and ICD-9 coding systems
• Must have completed a medical terminology class
• Must have familiarity with large healthcare information systems
• Must have experience in PC based spreadsheets and word processing
• Must have demonstrated experience in managing interpersonal relationships

Skills

Required skills include analytical skills, excellent written and verbal communications, and the ability to manage multiple priorities effectively. Additional skills may include familiarity with large healthcare information systems, experience in PC based spreadsheets and word processing, and proven working knowledge of CPT and ICD-9 coding systems.

Benefits

UChicago Medicine offers a comprehensive benefits package including medical, dental, vision, retirement plans, and more. For more information, please visit Benefits - UChicago Medicine.

Pay

The pay range for this position is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity.

Schedule

This role is scheduled for 8-hour shifts, day shift approximately between the hours of 9am-5:30pm, and will be worked remotely-hybrid, with days of the week being Monday-Friday and no weekends. This schedule is subject to change.