Accounts Receivable Representative

The University Of Chicago; Chicago (IL); On-site; USD 45,000 - 65,000; Full time

Job summary

A prestigious educational institution in Chicago is seeking an individual for revenue cycle management. This role involves performing various activities related to patient billing and account resolution. The ideal candidate will have experience in physician billing, a strong attention to detail, and proficiency in electronic medical records. The position also demands effective communication skills and the ability to manage tasks independently. Join a dynamic team committed to maintaining high standards in patient care and administrative efficiency.

Qualifications

• Experience with electronic billing systems for patient information updates.
• Proficient in or able to learn billing systems and EMR platforms.
• Strong analytical skills to identify root causes of billing issues.

Responsibilities

• Perform patient and insurance follow-up for revenue cycle activities.
• Resolve account balances and claim edits, and conduct reconciliations.
• Communicate with internal departments to resolve account-related issues.

Skills

Attention to detail

Problem solving

Effective communication

Ability to work independently

Knowledge of medical terminology

Education

Previous experience with physician billing

Experience with electronic medical records (EMR)

Understanding of diagnosis and CPT coding

Tools

Epic EMR

Microsoft Office (Outlook, Word, Excel)

Job description

* 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, resolve complex Provider Level adjustments (PLBs) credit balances, applying payments and adjustments to accounts.* Responsible to 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.* 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 competent and professional manner in a fast paced atmosphere.* Ability to solve problems independently with limited direction from the supervisor.* 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 MCO’s preferred.* 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.When applying, the document(s) **MUST** be uploaded via the **My Experience** page, in the section titled **Application Documents** of the application.The University of Chicago is an urban research university that has driven new ways of thinking since 1890. Our commitment to free and open inquiry draws inspired scholars to our global campuses, where ideas are born that challenge and change the world.We empower individuals to challenge conventional thinking in pursuit of original ideas. Students in the College develop critical, analytic, and writing skills in our rigorous, interdisciplinary core curriculum. Through graduate programs, students test their ideas with UChicago scholars, and become the next generation of leaders in academia, industry, nonprofits, and government.To learn more about the university click here