Clinical Revenue Supervisor

Department
BSD UCP - Revenue Cycle - Accounts Receivable Non Government

About the Department
The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprises the largest unit of the University, accounting for 60% of its annual budget. All physician, hospital, and clinic services are managed through the Medical Center, which is a $1.3 billion enterprise. The BSD includes the Pritzker School of Medicine, approximately 20 academic units, degree granting committees, and research centers and institutes. The BSD is located on the University's main campus in Hyde Park, ten minutes south of downtown Chicago. BSD's patient care operations are conducted primarily at the University of Chicago Hospital and clinics, which share the same campus. 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 University of Chicago Physicians' Group (UCPG) is a component of the physician practice plan for the University of Chicago. 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. Each physician is a faculty member and is based in a specified department in the BSD.

Job Summary
The job provides professional support and solves straightforward problems in projects related to revenue cycle operations, including activities related to charging, billing, and collecting. Coordinates the management of successful billing and compliance activities with department managerial and executive staff.

The Clinical Revenue Supervisor oversees physician claims billed through hospital outpatient clinics, ensuring effective management of claim submission, denial follow-up, appeals, and payer escalations. This role leads both internal and external staff, directing daily operations, setting team priorities, and coordinating with other supervisors to maintain efficient workflows. The supervisor is responsible for resolving complex revenue cycle issues while supporting accurate billing, timely collections, and compliance with regulatory standards. In addition, the position provides professional support on projects related to charging, billing, and collections, working closely with department leadership to drive successful revenue cycle and compliance outcomes.

Responsibilities

• Oversees the AR follow-up and denial resolution process with minimal direct oversight.
• Proactively reviews current workflows for AR resolution with the intention to improve, implement, communicate and maintain an efficient AR resolution process.
• Identifies and resolves the systematic and/or operational root causes of denials and outstanding AR.
• Oversees and manages the AR follow-up work queues (WQ) and proposes both short and long-term enhancements that support business needs.
• Assists manager with maintaining payer scorecards, creating payer meeting agendas, and communicating issues to provider representatives.
• Works with the payers on escalated account resolution, identifies and submits high-complexity and other escalated payer projects.
• Creates simple to moderately-complex reports that are necessary for payor projects using a variety of business tools.
• Proactively reviews payer communication, initiates payer policy and rule change implementation, and proposes changes to front-end or back-end edits.
• Communicates clearly and professionally with the other UCPG units, clinical departments, external vendors, and payers in effort to build partnerships that result in denial resolution and prevention.
• Provides AR follow-up expertise to other UCPG and UCM business units as needed.
• Works closely with the Coding Education team to suggest opportunities for coder and provider training.
• Assists clinical departments in resolving escalated AR and denial issues.
• Works with Hospital Billing (HB) team on AR issues that cross between PB, HB, or SBO applications.
• Provides AR follow-up training to existing and new AR follow-up staff.
• Completes quality audits for denial and AR resolution activities.
• Creates denial Appeal, Reconsideration, and Letter of Medical Necessity Letter templates and trains staff in effectively using these templates.
• Creates workflows and assists manager in developing and documenting policies and procedures.
• Provides support to UCPG and external entities for any AR issues.
• Provides root cause analysis of AR issues and denials and implements tools and solutions to reduce denials and other manual AR follow-up work.
• Provides direct support to AR resolution in effort to better identify trends and new issues.
• Assists the manager in monitoring and trending AR and denials, provides root-cause analysis, assists in root cause resolution and identifies opportunities to improve workflows.
• Supervises the day-to-day activities of the Clinical Revenue support staff.
• Prepares departmental compliance efforts by participating in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations.
• Prioritizes chart documentation and maintaining requirements within the department. Ensures all processes involved in accurately posting professional fees.
• Has a moderate/solid understanding of coding procedures, workflow issues, billing infrastructure, and performance of Clinical Revenue staff. Informs department administrators, physicians, and Coder/Abstractors of regulatory changes.
• Participates and may lead in training sessions, performing audits, and promoting an understanding of procedures, policies, and expectations in promotion of compliance efforts.
• Performs other related work as needed.

Minimum Qualifications

Education:
Minimum requirements include a college or university degree in related field.

Work Experience:
Minimum requirements include knowledge and skills developed through 2-5 years of work experience in a related job discipline.

Certifications:

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Preferred Qualifications

Education:

• Bachelor's degree.

Experience:

• Experience with physician revenue cycle specific AR follow-up and denial resolution.
• Experience with diagnosis and CPT coding terminology.
• Experience with charge correction activities.
• Experience using physician billing/revenue cycle software and electronic medical records system.
• Proven ability to effectively develop and introduce procedures and processes to others both within Department and with Manager/individuals in other UCM departments.
• Previous EPIC experience.
• PC experience and MS Office (Word, Excel, PowerPoint).

Preferred Competencies

• Confidentiality/discretion must be maintained at all times.
• Ability to handle multiple concurrent tasks in a competent and professional manner in a fast paced atmosphere.
• Ability to understand medical terminology/documentation.
• Ability to solve problems independently with limited direction from the supervisor.
• Ability to work for long periods of time in a sitting position, or at a keyboard.
• Ability to bend/kneel to access files in filing cabinets or storage boxes.
• Ability to drive or commute to various sites for meetings.
• Ability to work flexible hours.
• Demonstrated knowledge of third-party payer systems and related rules and regulations.
• Demonstrated analytics and report knowledge.
• Comprehensive working knowledge word processing, database, and spreadsheet software.
• Demonstrated knowledge of billing systems.
• Ability to use electronic billing system.
• Exceptional organization skills.
• Excellent written and oral communication skills.

Working Conditions

• Office/Hybrid.

Application Documents

• Resume (required)
• Cover Letter (required)

When applying, the document(s) MUST be uploaded via the My Experience page, in the section titled Application Documents of the application.

Job Family
Financial Management

Role Impact
Individual Contributor

Scheduled Weekly Hours
40

Drug Test Required
No

Health Screen Required
No

Motor Vehicle Record Inquiry Required
No

Pay Rate Type
Salary

FLSA Status
Exempt

Pay Range
$70,000.00 - $95,000.00
The included pay rate or range represents the University's good faith estimate of the possible compensation offer for this role at the time of posting.

Benefits Eligible
Yes
The University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off. Information about the benefit offerings can be found in the Benefits Guidebook.

Posting Statement

The University of Chicago is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender, gender identity, or expression, national or ethnic origin, shared ancestry, age, status as an individual with a disability, military or veteran status, genetic information, or other protected classes under the law. For additional information please see the University's Notice of Nondiscrimination.

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