[Hiring] Revenue Cycle Financial Specialist @UChicago Medicine

Role Description

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

In this role, the Revenue Cycle Financial Specialist will be responsible for:

• Collecting and verifying demographic, guarantor, and insurance information.
• Educating patients, physicians, staff, etc. on the financial process.
• Ensuring that preauthorizations/referrals and precertifications are completed in accordance with payor requirements prior to the scheduled encounter.
• Working closely with clinical staff to acquire necessary clinical information needed to complete the authorization process.
• Managing the process of aiding patients and their representatives with securing reimbursement for Hospital and Physician services provided.
• Assisting patients in identifying and selecting available options for insurance coverage and/or financial assistance.
• Collaborating with patients, UCM coverage vendors, clinical staff, Patient Financial Services, Ambulatory Patient Financial Specialists, urban health collaborative, and case management/social work.
• Managing all patient account types (outpatient, inpatient, ED, and UCPG) and maintaining thorough knowledge of the hospital’s revenue cycle process.
• Understanding the Hospitals Inpatient/Outpatient treatment policies and how they relate to each patient’s situation.
• Coordinating and monitoring the flow of revenue generated by UCMC and UCPG.
• Utilizing the Hospitals revenue systems and interacting with patients, physicians, insurance companies, donors, and other members of the Hospitals' staff.

Qualifications

• Two (2) years’ experience in medical insurance verification and other hospital finance areas (including Hospital Billing).
• Windows based PC experience.
• High degree of initiative and problem-solving ability.
• Strong analytic and financial assessment abilities.
• Ability to pay close attention to a variety of details.
• Must be able to multitask and function in a constantly changing environment.
• Ability to problem solve independently and be strongly invested in team management.
• Knowledge of accounting principles with excellent verbal, math, and presentation skills.

Requirements

• Perform all registration functions: interview patients via telephone or face to face to collect demographic, guarantor, insurance, and financial data required.
• Verify benefits and coverage for services scheduled.
• Prioritize work based on appointment date to ensure completion prior to patient arrival at UCM.
• Obtain referrals/authorizations or precertifications to ensure reimbursement of services rendered.
• Document necessary authorization information for clean billing and payment.
• Recognize patients in need of financial assistance and provide charity applications or referrals to the Department of Human Services.
• Interview patients to assist in managing a resolution of multiple visit accounts compliant with Hospital financial resolution policies.
• Advise and counsel patients and guarantors regarding patient rights, responsibilities, and procedures related to payment for Hospital and ProFee care.
• Act as an advocate to ensure positive guest relations for resolution of inquiries.
• Utilize all available resources to identify appropriate financial resolutions for both patients and UCM.
• Remain current on city, county, state, or federal regulations affecting the Affordable Health Care Act or Fair Patient Billing Act guidelines.
• Assist patients with financial assistance applications and ensure timely routing to the appropriate department.
• Work closely with both the patient and UCM MA-NG vendor to assist in completing Medicaid applications.
• Assist patients in understanding Health Insurance Exchange plans and support contacting the UCM MA-NG vendor.
• Collect necessary payments due prior to services rendered using PPE system through PASSPORT.
• Investigate and resolve charge disputes, process patient refunds, identify adjustments required to accounts, and make corrections.
• Make payment arrangements on past due balances.
• Escalate issues requiring administrative intervention or review.
• Meet daily productivity and quality expectations and participate in departmental audit/review processes.

Benefits

• Comprehensive health benefits.
• Retirement plans.
• Paid time off and holidays.
• Employee wellness programs.
• Opportunities for professional development.

Company Description

UChicago Medicine has been at the forefront of medicine since 1899, providing superior healthcare with compassion. We are committed to advancing medical innovation, serving the health needs of the community, and moving our collective knowledge forward.

UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status, and other legally protected characteristics.