Hybrid Billing Analyst – Ambulatory Pharmacy Revenue

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

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.