[Hiring] Registration & Insurance Specialist @UChicago Medicine

Role Description

Be a part of a world-class academic healthcare system, UChicago Medicine, as a Registration & Insurance Specialist with the Finance Department. This is a remote, work from home opportunity, and you may be based outside of the greater Chicagoland area.

Under general direction, this position is responsible for conducting detailed reviews of patient insurance information to determine network status, verify active coverage, and review both pre- and post-billing activities for payments, including identifying self-pay balances. The role also involves initiating GAP exceptions and collaborating with managed care teams to secure single case agreements as needed. This position requires frequent communication and coordination with physicians and clinical staff involved in patient care. The ideal candidate will demonstrate strong critical thinking skills, work independently, and excel in both written and verbal communication within a fast-paced environment where timely, accurate work has a direct impact on patient care.

Essential Functions

• Notating Epic FYI as directed within the standard work, using smart phrases/smart text for easy interpretation of the note.
• Perform complex registration and insurance reviews for out of network (OON) exceptions within the timeframes identified through department protocols.
• Consistent and timely follow up with payers on the status of GAP exceptions.
• Coordination with key players in revenue cycle for timely follow up on OON commercial patients.
• Timely review of the 90/10 global period patients to ensure accuracy in the FYI notes per the standard work.
• Handle all IBCCP referrals according to the tip sheet provided.
• Monitor work queues and email inbox for appropriate follow up on accounts with timely resolution for end users.

Qualifications

• High school diploma or equivalent.
• 3 – 5 years of related insurance experience and 2 years of patient account experience preferably in a hospital setting.
• Strong communication, problem solving, and organizational skills.
• Ability to work independently and as part of a team.
• Ability to prioritize workload and make decisions effectively and timely.
• Excellent written and oral skills.
• Previous experience with hospital information systems strongly preferred.
• Proficiency in Microsoft Office Suite.
• Basic understanding of health insurance types (HMO, PPO, Medicaid, Medicare).
• Ability to check eligibility, benefits, and network status.
• Basic navigation of EHR/EMR Systems like Epic, Cerner, or similar systems.
• Understanding of key insurance and billing terms.
• Accurate input of patient and insurance information.
• Knowledge of when prior authorization or referrals may be needed.
• Understanding privacy regulations and how to protect patient information.
• Microsoft Office Proficiency, especially Excel and Outlook for tracking and communication.

Requirements

• Job Type/FTE: Full Time (1.0 FTE)
• Shift: Days, Monday-Friday 8am-5pm
• Unit/Department: Finance
• Work Location: Full Time Remote
• CBA Code: Non-Union

Benefits

• UChicago Medicine is committed to transparency in compensation and benefits.
• The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.
• Compensation offered at the time of hire will vary based on candidate qualifications and experience.
• Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.