Billing Analyst I, Full-Time Days

UChicago Medicine; Chicago (IL); Hybrid; USD 60,000 - 75,000; Full time

Job summary

UChicago Medicine Billing Analyst I in the Pharmacy Department focuses on monitoring ambulatory billing operations, verifying charge accuracy, and reconciling supply and facility-based charges under supervision. The role collaborates with Senior Billing Analyst and Nursing to ensure proper charge capture and regulatory compliance.

Ideal candidates will have a Bachelor’s degree and 1–3 years in hospital billing, with CPT/ICD-9 knowledge and a willingness to obtain CPC/RHIT/RHIA within 12 months.

Qualifications

• Bachelor’s degree required.
• 1–3 years’ experience with pharmacy or hospital billing operations.
• Knowledge of CPT and ICD-9 coding; certification within twelve months: CPC, RHIT, RHIA or any combination.
• Successful completion of medical terminology course.
• Familiarity with large healthcare information systems (IDX, OACIS, EPIC and/or Last Word preferred).
• Experience in PC based spreadsheets and word processing.
• Must be analytical and have excellent written and verbal communications.
• Demonstrated ability to manage interpersonal relationships and multiple priorities.

Responsibilities

• Ensure all ambulatory and specialty third party charges are being paid and identify reimbursement losses from third party payers.
• Follows all departmental policies, procedures, and billing regulations such as LMRPs, APCs, diagnosis coding and documentation.
• Interfaces with Nursing, Vendors, and Supply Chain to reconcile discrepancies in charge and procedural documentation
• Works with Supply Chain to enter new product information to assure correct accounts and billing codes have been assigned
• Assists in resolution of charge disputes or third-party audits
• Performs other duties related to revenue capture and reimbursement as assigned.

Skills

Billing operations

CPT/ICD coding knowledge

PC spreadsheets

Written and verbal communication

Analytical

Interpersonal relationships

Education

Bachelor’s degree

Tools

IDX

OACIS

EPIC

Last Word

Job description

Job Description

Be a part of a world-class academic healthcare system at Pharmacy Department. Under the direction of the Executive Director, Ambulatory Pharmacy Business Development and the Director, Pharmacy Contracting, Finance, and Metrics, the Billing Analyst I monitors billing operations for ambulatory pharmacy accounts payable and other business metrics. The Billing Analyst I works with the Senior Billing Analyst, Ambulatory Pharmacy, Specialty Pharmacy, Supply Chain, and Nursing to verify the accuracy and reconcile supply and facility-based charges. The Billing Analyst I audits charts to verify charge documentation, identifies patterns, makes recommendations for workflow changes to reduce charge capture issues.

Be a part of a world-class academic healthcare system at UChicago Medicine as an Billing Analyst I in the Pharmacy Department. Under the direction of the Executive Director, Ambulatory Pharmacy Business Development and the Director, Pharmacy Contracting, Finance, and Metrics, the Billing Analyst I monitors billing operations for ambulatory pharmacy accounts payable and other business metrics. The Billing Analyst I works with the Senior Billing Analyst, Ambulatory Pharmacy, Specialty Pharmacy, Supply Chain, and Nursing to verify the accuracy and reconcile supply and facility-based charges. The Billing Analyst I audits charts to verify charge documentation, identifies patterns, makes recommendations for workflow changes to reduce charge capture issues.

Essential Job Functions

• Ensure all ambulatory and specialty third party charges are being paid and identify any reimbursement losses from third party payers.
• Follows all departmental policies, procedures, and billing regulations such as LMRPs, APCs, diagnosis coding and documentation.
• Interfaces with Nursing, Vendors, and Supply Chain to reconcile discrepancies in charge and procedural documentation
• Works with Supply Chain to enter new product information to assure correct accounts and billing codes have been assigned
• Assists in resolution of charge disputes or third-party audits
• Performs other duties related to revenue capture and reimbursement as assigned.

Required Qualifications

• Bachelor’s degree
• Minimum 1-3 years’ experience with pharmacy or hospital billing operations
• Proven working knowledge of CPT and ICD-9 coding systems required -- certification required within twelve months of job hire: CPC, RHIT, RHIA or any combination.
• Successful completion of medical terminology class.
• Familiarity with large healthcare information systems (past experience with IDX, OACIS, EPIC and/or Last Word preferred).
• Experience in PC based spreadsheets and word processing.
• Must be analytical and have excellent written and verbal communications.
• Demonstrated experience in managing interpersonal relationships and in handling multiple priorities effectively

Preferred Qualifications

• AAPC

Position Details

• Job Type/FTE: Full-Time (1.0 FTE)
• Shift: Days
• Work Location: Hybrid (Remote and Onsite)
• Unit/Department: Pharmacy
• CBA Code: Non-Union

In this role, we anticipate that you will be scheduled to work 8-hour shifts, day shift approximately between the hours of 9am-5:30pm and will not be scheduled for on-call shifts. We anticipate you will be scheduled to work a remote-hybrid schedule. The days of the week that you are scheduled will be Monday-Friday, and no weekends. This is subject to change.

About Us

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.

UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities

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.

As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.

Compensation & Benefits Overview

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.

The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.

Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.