Patient Financial Services Representative, Full Time - Days

University of Chicago Medical Center; Burr Ridge (IL); Remote; USD 40,000 - 55,000; Full time

Job summary

Join a leading academic healthcare system as a Patient Financial Services Representative. In this full-time role at Ingalls Memorial Hospital, you will manage account receivables, ensure compliance with regulations, and support the revenue cycle process. Ideal candidates have strong analytical skills and experience in healthcare billing practices. This position offers an opportunity to impact the community's health services while working in a collaborative environment.

Qualifications

• Ability to interpret contracts and state and federal programs for proper reimbursement.
• Knowledge of HIPAA regulations, billing, and collection procedures.
• Typing speed of 30 words per minute; ability to use a ten-key calculator.

Responsibilities

• Responsible for account receivables management and timely billing.
• Maintains relationships with third-party payers, resolving inquiries and complaints.
• Documents all actions regarding account resolution in accordance with requirements.

Skills

Critical Thinking

Attention to Detail

Communication Skills

Education

High School Diploma or equivalent

Associate's degree in business or healthcare (Preferred)

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

Job Description

Be part of a world-class academic healthcare system, Ingalls Memorial Hospital, as a Patient Financial Services Representative in the PFS Medicare and Commercial department.

In this role as a Patient Financial Services Representative, you will be responsible for account receivables management. This position requires detailed analysis and critical thinking. Ingalls Memorial Hospital serves Chicago's south suburbs. We strive to be the best healthcare provider supply chain, aiming to ensure the right products, services, and equipment are always delivered to the right place at the right time. We are committed to delivering the best quality with the lowest total cost.

This position promotes revenue integrity and accurate reimbursement for the organization by ensuring timely and accurate billing and collection of accounts. The individual must follow departmental productivity and quality control measures that support the organization’s operational goals. Responsibilities include collections and final resolution of insurance claims, maintaining records and reports according to department procedures, meeting productivity and quality standards, and governing the collection process as defined by hospital procedures. The position requires understanding and maintaining all State and Federal regulations related to billing and collections.

Essential Job Functions

1. Participates in process improvement and cross-training activities regularly.
2. Keeps management informed of outstanding problems and updates on posting timeliness.
3. Documents all actions regarding account resolution comprehensively and concisely, in accordance with department requirements.
4. Seeks assistance for additional options when account resolution stalls.
5. Maintains compliance with regulatory requirements.
6. Provides written ideas to streamline and improve procedures.
7. Maintains and monitors the integrity of the claim development and submission process.
8. Acts as a liaison between patients, providers, and payers for post-care account resolution matters.
9. Solves problems within established policies and procedures.
10. Maintains third-party payer relationships, responding to inquiries, complaints, and correspondence.

PFS Representatives will support one or more of the following departments:

• Billing & Follow Up - Denials
• Accounts Receivable Specialist
• Collectors
• Medicaid/Medicare and Managed Care Billing

Required Qualifications

• High school diploma or equivalent
• Ability to interpret contracts, and state and federal programs for proper reimbursement
• Knowledge of HIPAA regulations, billing, and collection procedures
• Knowledge of UB04, 837I, 837P, 835, ICD10, and revenue codes
• Proficiency in Microsoft Excel, Word, and Outlook
• Typing speed of 30 words per minute
• Ability to use a ten-key calculator
• Good verbal, written, and comprehension skills
• Ability to follow detailed instructions
• Supports teamwork environment
• Ability to work independently and collaboratively

Preferred Qualifications

• Associate’s degree in business, healthcare, or related field, or relevant experience
• Two years hospital business office experience preferred
• Medical Terminology knowledge
• Experience with Medicare/Medicaid and Managed Care claims processing in a hospital setting
• Experience with Passport, NEBO, or FSS0 systems

Position Details

• Job Type: Full Time (1.0 FTE)
• Shift: Day Shift
• Location: Burr Ridge - Remote opportunity
• Department: Revenue Cycle
• CBA Code: Non-Union

Why Join Us

For nearly a century, Ingalls Memorial has pioneered sophisticated clinical care and developed a comprehensive outpatient network dedicated to community health. Partnered with UChicago Medicine, we have expanded our services to enhance patient care and wellness. Our talented medical staff and employees are committed to prevention, diagnosis, treatment, and rehabilitation, maintaining our reputation for quality.

We seek passionate, talented, and committed employees to join us in advancing medical innovation and serving community health. If you want to make a meaningful impact, UChicago Medicine Ingalls Memorial is the place for you. Join us!

Discover career opportunities at Ingalls and learn how you can contribute to our pursuit of excellence.

UChicago Medicine Ingalls is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, gender, sexual orientation, gender identity, marital status, religion, national origin, age, disability, veteran status, or other protected characteristics.

All employees must comply with Ingalls Memorial Hospital's COVID-19 vaccination policy, providing proof if vaccinated. Exemptions for medical or religious reasons will be considered. Pre-employment physical, drug screening, and background check are required.

Compensation & Benefits

We are committed to transparency regarding compensation and benefits. The offered salary range reflects current market data and organizational considerations. Compensation varies based on qualifications and experience. Benefits details are available at Benefits - UChicago Medicine.