Revenue Cycle Financial Specialist, Full-Time - Days

Job Overview Join one of the nation’s most comprehensive academic medical centers, UChicago Medicine, as a Revenue Cycle Financial Specialist with the Revenue Cycle - Patient Access Services Department. Responsibilities Ensure preauthorizations/referrals and precertifications are completed in accordance with payor requirements prior to scheduled encounters. Work closely with clinical staff to acquire necessary clinical information needed to complete the authorization process. Assist patients and their representatives in securing reimbursement for hospital and physician services provided. Help patients identify and select available options for insurance coverage and/or financial assistance. Collaborate with patients, UCM coverage vendors (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 thorough knowledge of the hospital’s revenue cycle processes. Understand inpatient/outpatient treatment policies and their impact on each patient situation; coordinate and monitor revenue flow generated by UCMC and UCPG. Utilize hospital revenue systems extensively and interact regularly with patients, physicians, insurance companies, donors and other hospital staff. Perform all registration functions: interview patients via telephone or face‑to‑face to collect demographic, guarantor, insurance and financial data required. Verify benefits and coverage for scheduled services. Prioritize work based on appointment date to ensure all requirements are met before patient arrival 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; provide charity applications or referrals to the Department of Human Services. Interview patients to manage resolution of multiple visit accounts and comply with hospital financial resolution policies. Advise and counsel patients and guarantors regarding payment responsibilities and procedures for hospital care 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 patients and UCM. Stay current on any city, county, state or federal regulations that may change the structure and management of the Affordable Health Care Act or Fair Patient Billing Act guidelines. Assist patients with financial assistance applications and ensure completed applications are routed to the appropriate department promptly. Work closely with both the patient and UCM MA‑NG vendor to assist in the completion of Medicaid applications in a timely manner. Assist patients in understanding Health Insurance Exchange plans and support them in contacting the UCM MA‑NG vendor to start the process. Collect any necessary payments due prior to services being rendered using the PPE system through PASSPORT. Investigate and resolve charge disputes, process patient refunds, identify adjustments required to accounts and make corrections; arrange payment for past‑due balances. Escalate issues requiring administrative intervention or review as per the Treatment Policy. Meet daily productivity and quality expectations and participate openly in departmental audit/review processes to ensure all work is monitored and completed based on departmental standards. Other duties 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 a close attention to detail. Ability to multitask and function effectively in a constantly changing environment. Independent problem‑solving skills and strong investment in team management. Knowledge of accounting principles and excellent verbal, mathematical 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