Account Receivable Representative (Government)

Revenue Cycle Billing Assistant Responsible for assisting the revenue cycle team by performing one or more aspects of routine physician revenue cycle billing. Communicate and work with University and UCM departments, patients, payers and other external entities to obtain the necessary information to process claims, collect cash and reduce AR. Responsibilities Perform patient and insurance for various revenue cycle activities; such as working rejections, no activity follow up accounts, registration-related functions, eligibility inquiries and other activities that contribute to AR/Account Resolution. Perform revenue cycle activities to resolve the account balance, such as resolving claim edits, rejections, resolve complex Provider Level adjustments (PLBs) credit balances, applying payments and adjustments to accounts. Responsible to make insurance follow-up phone calls to payers to resolve missing remit file issues. Work with IT to resolve EDI file load errors and work with payers to resolve missing remit file issues. Communicate with revenue cycle experts regarding the necessary medical records and clinical and/or billing information needed from the department to resolve accounts and escalate issues when appropriate to revenue cycle experts and/or manager. Complete daily payment batch reconciliation and create/update accounts within the billing system; including demographic and insurance changes or additions; also maintain documentation within the billing system for account activity. Assist in tasks related to projects and in the development, coordination and review of procedures. Correspond with internal and external constituencies to obtain appropriate documentation and/or information in an effort to resolve the account. Competencies Ability to participate as a member of the staff in identifying priorities for the work unit and participate as a member of a work group or team. Ability to interact and communicate with clarity, tact, and courtesy with patrons, patients, staff faculty, students, and others. Ability to work with supervision to identify and describe work task priorities. Ability to recognize and resolve or refer problems and conflicts. Ability to negotiate and manage interpersonal communication effectively. Ability to understand medical terminology/documentation and basic documentation such as help screens and departmental handouts. Ability to handle multiple concurrent tasks in competent and professional manner in a fast paced atmosphere. Ability to solve problems independently with limited direction from the supervisor. Additional Responsibilities Education, Experience, or Certifications: High School Diploma or GED required. Previous experience with physician billing required. Previous experience using electronic medical records (EMR) systems preferred. Previous experience with diagnosis and CPT coding terminology required. Previous experience working with third party payor rules, procedures and policies in physician billing required. Previous Epic EMR experience preferred. Previous experience working all Government Payors including but not limited to Medicare, Medicare Advantage Plans, Medicaid and Medicaid MCO's preferred. Experience with Physician AR follow-up required. Experience working with UB04 and/or CMS 1500 required. Licenses and Certifications: Medical terminology certification preferred. CPT certification preferred. Technical Knowledge or Skills: Proficiency with Microsoft Office suite required. PC experience which includes spreadsheets, word processing, presentations, and databases. Interpret documents such as, but not limited to encounter forms, medical records, physician documentation, lab reports, dictated reports, operating instructions, and policy/procedure manuals. Thorough working knowledge of federal and state regulations regarding reimbursement. Comprehensive knowledge of third party payer rules, procedures, and policies in all areas of billing and collection. Working knowledge of healthcare billing and clinical systems. Working Conditions and Physical Requirements 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 hourly Required Documents Resume Cover Letter When applying, the document(s) MUST be uploaded via the My Experience page, in the section titled Application Documents of the application. The University of Chicago offers a wide range of benefits programs and resources for eligible employees, including health, retirement, and paid time off.