We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We’re in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you’d like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion.
Revenue Cycle Financial Specialist
Location
United States
Posted
4 days ago
Salary
$23 - $34 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
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 - Patient Access Services 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 for 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 an available option 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, while maintaining thorough knowledge of the hospital’s revenue cycle process. - Understanding the hospital's inpatient/outpatient treatment policies and their relation to each patient’s situation. - Coordinating and monitoring the flow of revenue generated by UCMC and UCPG. - Utilizing the hospital's revenue systems and interacting with patients, physicians, insurance companies, donors, and other staff members. 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 scheduled services. - Prioritize work based on appointment date to ensure completion prior to patient arrival. - 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 resolution of multiple visit accounts and comply with hospital financial resolution policies. - Advise and counsel patients and guarantors regarding 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 available resources to identify appropriate financial resolutions for patients and UCM. - Remain current on regulations that may change the structure and management of 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 patients and UCM MA-NG vendor to assist in Medicaid application completion. - Assist patients in understanding Health Insurance Exchange plans and support contacting UCM MA-NG vendor. - Collect necessary payments due prior to services being 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 - Full Time (1.0 FTE) position. - Shift: Days Monday-Friday 8am-4:30pm. - Flexible Remote/Burr Ridge, IL work location.
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