Revenue Cycle Financial Specialist, Full Time - Days

Overview 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 . In this role, the Revenue Cycle Financial Specialist will be responsible for collecting and verifying demographic, guarantor and insurance information, and educating patients, physicians, staff, etc. on the financial process. Responsibilities Responsible for ensuring that preauthorizations/referrals and precertifications 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. Manage the process of aiding patients and their representatives with securing reimbursement for Hospital and Physician services provided. Assist patients in identifying and selecting an available option for insurance coverage and/or financial assistance. 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 revenue cycle process. Understand the Hospital inpatient/outpatient treatment policies and how they relate to each patient situation. Coordinate and monitor the flow of revenue generated not only by UCMC but UCPG. You will be involved in extensive utilization of the Hospital’s revenue systems and constant interaction with patients, physicians, insurance companies, donors and other members of the Hospital staff. Essential Functions Perform all registration functions: interview patients via telephone or face to face to collect demographic, guarantor, insurance and financial data required. Verify the benefits as well as the coverage for services scheduled. Prioritize work based on appointment date to ensure everything is completed prior to the patient arriving at UCM. Obtain referrals/authorizations or precertifications to ensure reimbursement of services rendered. Document necessary authorization information in appropriate fields for clean billing and payment. Recognize patients in need of financial assistance and provide charity applications or referrals to the Department of Human Services. Interview patients to assist in managing a resolution of a patient’s multiple-visit accounts and ensure compliance with Hospital financial resolution policies. Advise and counsel patients and guarantors regarding patient rights, responsibilities and procedures related to payment for Hospital and ProFee care. Act as an advocate to ensure positive guest relations for resolution of inquiries. Utilize all available resources to identify the most appropriate financial resolution for both the patients and UCM. Remain current on any city, county, state or federal regulations that may change the structure and management of the current Affordable Health Care Act or Fair Patient Billing Act guidelines. Assist patients with financial assistance applications and ensure completed Financial Assistance applications are routed to the appropriate department for consideration in a timely manner. Work closely with both the patient and UCM MA-NG vendor to assist in the completion of the Medicaid application to ensure timely processing. Assist the patient in understanding the Health Insurance Exchange plans potentially available, and support 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 require administrative intervention or review. Meet daily productivity and quality expectations and participate in departmental audit/review processes to ensure work is monitored and completed according to departmental standards. Other duties as assigned. Required Qualifications Two (2) years of 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 with attention to detail. Ability to multitask and function in a constantly changing environment. Ability to problem solve independently and be strongly oriented toward teamwork. Knowledge of accounting principles with excellent verbal, math and presentation skills. Preferred Qualifications Bachelor’s degree. Position Details Job Type/FTE: Full Time (1.00 FTE) Shift: Full Time - Days Unit/Department: Revenue Cycle - Patient Access Services Work Location: Full Time Remote/ Burr Ridge, IL CBA Code: 743 Clerical #J-18808-Ljbffr UChicago Medicine