Accounts Receivable Representative

Biological Sciences Division at the University of Chicago; Burr Ridge (IL); On-site; USD 30,541 - 44,730; Full time

Benefits offered by this job

Benefit eligibility

Job summary

A prestigious academic institution is looking for an Accounts Receivable Representative to support its revenue cycle team. This position requires strong knowledge of billing and accounts receivable processes, and the ability to resolve claims and manage accounts effectively. The successful candidate will have a high school diploma, previous physician billing experience, and be proficient with electronic medical records and billing systems. The role offers a competitive hourly pay rate ranging from $22.17 to $32.47 with a full-time commitment.

Qualifications

• Previous experience with physician billing.
• Experience using electronic medical records (EMR) systems preferred.
• Knowledge of diagnosis and CPT coding terminology.

Responsibilities

• Perform patient billing and accounts receivable activities.
• Resolve claim edits, rejections, and account balances.
• Make insurance follow-up phone calls.

Skills

Knowledge of physician revenue cycle

Analytical skills

Effective communication

Attention to detail

Proficiency in billing systems

Problem solving

Team collaboration

Education

High School Diploma or GED

Tools

Epic EMR

Microsoft Office

Job description

Overview

Department BSD UCP - Revenue Cycle - Accounts Receivable Non Government

The Accounts Receivable Representative is a unionized position that supports the revenue cycle team by performing routine physician billing and accounts receivable activities for the University of Chicago Physicians Group. This role researches, resolves, and follows up on outstanding accounts to ensure timely claim processing, accurate cash collection, and reduction of accounts receivable. The position communicates and works with University and UChicago Medicine departments, patients, payers, and other external entities to obtain necessary information to process claims and resolve account balances.

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, resolving complex Provider Level adjustments (PLBs), credit balances, applying payments and adjustments to accounts.
• 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

• Working knowledge of physician revenue cycle and accounts receivable processes, including claim submission, denial management, payment posting, and AR follow up.
• Ability to analyze account activity, identify root causes of unpaid or underpaid claims, and take appropriate action to resolve balances and reduce AR.
• Effective communication with third party payers, patients, and internal departments to research claim status, resolve denials, and obtain required information.
• Strong attention to detail and accuracy when reviewing accounts, updating demographic and insurance information, and applying payments and adjustments.
• Proficiency in or ability to quickly learn billing systems, EMR platforms, and standard office software, with consistent and accurate documentation of account activity.
• Demonstrated problem solving skills and sound judgment, including knowing when to escalate issues to subject matter experts or leadership.
• Ability to manage assigned workload independently while meeting productivity, timeliness, and quality expectations.
• Ability to work effectively as part of a team, communicate professionally, and interact with patients, faculty, staff, and external partners with tact and courtesy.
• Consistent adherence to established procedures, policies, and expectations within a union represented environment.
• Ability to understand medical terminology/documentation and basic documentation such as help screens and departmental handouts.
• Ability to handle multiple concurrent tasks in a fast-paced atmosphere.
• Ability to solve problems independently with limited direction from the supervisor.

Education, Experience, or Certifications

Education

• High School Diploma or GED required.

Experience

• 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 MCOs preferred.

Licenses And Certifications

• Medical terminology certification preferred.
• CPT certification preferred.

Technical Knowledge Or Skills

• Working knowledge of physician billing and accounts receivable processes, including claim submission, denials, payment posting, adjustments, and AR follow up.
• Understanding of diagnosis and CPT coding terminology and third party payer rules as they apply to physician billing.
• Experience using electronic billing systems to update patient demographics, insurance information, and document account activity.
• Experience working within electronic medical record systems; Epic experience preferred.
• Proficiency with Microsoft Office applications, including Outlook, Word, and Excel.

Pay and Benefits

• Pay Range: $22.17 - $32.47 per hour.
• Benefit eligibility: Yes.
• Pay Rate Type: Hourly.
• Scheduled Weekly Hours: 40.
• Union: 024- Local 743, I.B.T. Clerical.

Required Documents

• Resume
• Cover Letter

Posting details, including posting date and statements, are provided for applicant reference and equal opportunity information. All offers are contingent upon a background check. See the posting for full policy details.