Accounts Receivable Representative

Revenue Cycle Account Follow-Up Specialist

Responsible for supporting physician revenue cycle operations by performing routine accounts receivable (AR) follow up and denial resolution activities. Works to ensure timely and accurate claim processing, payment collection, and reduction of outstanding AR.

Communicates with internal departments, patients, and payers to obtain necessary information, resolve claim issues, and support efficient billing operations. Addresses denials and unpaid claims by researching issues, applying established workflows, and escalating complex cases as appropriate.

Maintains assigned work queues, documents actions clearly, and contributes to overall team productivity and quality standards. May assist with basic reporting, participate in training activities, and support process improvements as directed.

Responsibilities include overseeing the AR follow-up and denial resolution process with minimal direct oversight, identifying and resolving the systematic and/or operational root causes of denials and outstanding AR, assisting manager with maintaining payer scorecards, creating payer meeting agendas, and communicating issues to provider representatives, working with the payers on escalated account resolution, creating simple to moderately-complex reports that are necessary for payor projects using a variety of business tools, communicating clearly and professionally with the other UCPG units, clinical departments, external vendors, and payers in order to build partnerships that result in denial resolution and prevention, providing AR follow-up expertise to other UCPG and UCM business units as needed, working closely with the Coding Education team to suggest opportunities for coder and provider training, assisting clinical departments in resolving escalated AR and denial issues, working with Hospital Billing (HB) team on AR issues that cross between PB, HB, or SBO applications, providing AR follow-up training to existing and new AR follow-up staff, completing quality audits for denial and AR resolution activities, creating denial Appeal, Reconsideration, and Medical Necessity letter templates and trains staff in effectively using these templates, and creating workflows and assisting manager in developing and documenting policies and procedures.

Competencies include the ability to learn, apply, and effectively communicate established procedures and processes to support departmental operations, strong organizational and time management skills to prioritize tasks and handle multiple responsibilities efficiently, analytical thinking and problem-solving skills to review claims, resolve denials, and address operational issues, accuracy and attention to detail in data entry, documentation, and record-keeping, clear and professional communication skills, both oral and written, with internal teams and external partners, ability to work independently with minimal supervision while maintaining accountability, and teamwork and collaboration to support shared goals and contribute to a positive work environment.

Education, Experience, or Certifications include a high school diploma required, a degree in business, finance, administration, or related field preferred, background with physician revenue cycle specific AR follow-up and denial resolution required, working knowledge using physician billing/revenue cycle software and electronic medical records systems required, proficient with physician revenue cycle specific AR follow-up and denial resolution required, accomplished in diagnosis and CPT coding terminology required, skillful in charge correction activities required, critical thinking skills to review/compare information and form conclusions is required, PC experience and MS Office (Word, Excel, PowerPoint) required, and demonstration of effective interpersonal skills necessary to develop effective working relationships with both internal and external customers is required.

Working Conditions and Physical Requirements include remote; occasional on-site presence for team meetings and trainings, thus requiring someone to be located in or around the Illinois area to travel as needed.

Pay Range: $22.17 - $32.47 per hour

Required Documents: Resume, Cover Letter

Benefit Eligibility: Yes

The University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off.