Revenue Cycle Financial Specialist, Full Time - Days

About the role

Be a part of a world-class academic healthcare system, UChicago Medicine, as a Revenue Cycle Financial Specialist with the Revenue Cycle - Patient Access Services Department. This is a remote, work from home opportunity, and you may be based outside of the greater Chicagoland area.

Responsibilities

• Collect and verify demographic, guarantor and insurance information, educate patients, physicians, staff, etc. on the financial process.
• Ensure that preauthorization’s/referrals and precertification’s are completed in accordance with payor requirements and prior to the scheduled encounter.
• Work closely with the staff in the clinical areas to acquire necessary clinical information needed to complete authorization process.
• Aid patients and their representatives with securing reimbursement for Hospital and Physician services provided.
• Manage the process of aiding patients and their representatives with securing reimbursement for Hospital and Physician services provided.
• Work collaboratively with patients, UCM “coverage vendors” – currently GLM, clinical staff, Patient Financial Services, Ambulatory Patient Financial Specialists, urban health collaborative and case management/social work.
• Manage all patient account types; outpatient, inpatient, ED and UCPG, and maintain a thorough knowledge of the hospital's revenue cycle process.
• Understand the Hospitals Inpatient/Outpatient treatment policies and how they relate to each patient's situation.
• Coordinate and monitor the flow of revenue generated not only by UCMC but UCPG.
• Utilize all available resources to identify the most appropriate financial resolution for both the patients and UCM.
• Remain current of any city, county, state or federal regulation(s) that may change the structure and management of the current Affordable Health Care Act or Fair Patient Billing Act guidelines.
• Aids patients with financial assistance applications.
• Supports the patient in understanding the Health Insurance Exchange plans potentially available to them, and supports the patient in contacting the UCM MA-NG vendor to start the process.
• Collect any necessary payments due prior to services being rendered using PPE system through PASSPORT.
• Investigate and resolve charge disputes, process patient refunds, identify adjustments required to accounts and make corrections.
• Make payment arrangements on past due balances.
• Escalate issues that per Treatment Policy that require administrative intervention or review.
• Meet daily productivity and quality expectations and participate openly in departmental audit/review process to ensure that all work is monitored and completed based on departmental standards.

Requirements

• Two (2) years’ experience in medical insurance verification and other hospital finance areas (including Hospital Billing).
• Windows based PC experience.
• High degree of initiative and problem-solving ability.
• Strong analytic and financial assessment abilities as well as the ability to pay close attention to a variety of details are required to perform duties effectively.
• Must be able to multitask and be able to function in a constantly changing environment.
• Must be strongly invested in team management.

Qualifications

• Bachelor’s degree.

Skills

Required Qualifications: Two (2) years’ experience in medical insurance verification and other hospital finance areas (including Hospital Billing), Windows based PC experience, high degree of initiative and problem-solving ability, strong analytic and financial assessment abilities as well as the ability to pay close attention to a variety of details are required to perform duties effectively, must be able to multitask and be able to function in a constantly changing environment, must be strongly invested in team management, Bachelor’s degree.

Benefits

UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position. The pay range 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. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union. Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.