Pricing Specialist

Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: HB Commercial Billing-Collect Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page ( Pay Range: $27.47 - $43.27 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary This position requires a well-organized, detail-oriented individual with the ability to work directly with various payers, senior staff in International Health, Provider Practices/Billing Services, RUMC Finance, Contracting, Finance, EDW and Web/IT Services. The Bundled Pricing Coordinator must be able to work independently on multiple tasks, maintaining the highest level of efficiency, professionalism, and confidentiality. The successful candidate will demonstrate competence in Microsoft office applications, the ability to focus and perform well under pressure, as well as the ability to effectively prioritize and meet deadlines. The position of Bundled Pricing Coordinator is key to ensuring Rush Health is recognized as a competent and professional organization. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures Required Job Qualifications Bachelor's Degree and 1-3 years of experience in Revenue Cycle or related experience. Proficient with Microsoft Office including Word, Excel, and PowerPoint. Proper telephone etiquette is essential. Excellent verbal and written communication skills. Have a high degree of professionalism, strong customer service orientation, good organizational skills and the ability to work independently. Strong interpersonal skills with the ability to prioritize, and a team player attitude. Able to manage several projects at once. Responsibilities Accurately maintain and update the various tracking reports related to any bundled pricing arrangement. This includes investigating for missing information or erroneous information reported by the other users. The reports are to be maintained regularly and available for the specific users. Support bundled pricing meetings, including scheduling meetings with physician practices, organizing meetings and preparing materials, if required. Take and prepare minutes of governance committee meetings, as assigned. Support the participating providers in collecting the appropriate reimbursement for services provided. This includes providing email reminders and claims verification. Administer the applicable schedule for collecting claims data, entering manual claims, verifying claims with providers, and submitting claims bundle to the payer. Follow-up with payer for late payments. Verify payment(s) with RUMC Finance, calculate distribution, and balance all supporting schedules before distributing schedules to RUMC Finance for payment distribution. Ability to interpret contract terminology and apply the specific terms by contract in the calculation of expected payments. Troubleshoot discrepancies/disagreements with payers/providers to best ability and refer case to contracting staff for clarification when unfavorable terms emerge. Provide Rush Health Finance and/or International Health with monthly schedule of settlements including any administrative fees. Maintain corporate files for bundled pricing arrangements including all information/data/email correspondence related to the transaction, settlement schedules, tracking reports, and committee meetings. Maintain file of contracts (copies). Support the department goals and promote a professional work environment and attitude within the department. Establish and maintain excellent working relationships with key staff at Rush, the providers, and the providers billing and administrative staff. Other duties and responsibilities as assigned. Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. #J-18808-Ljbffr