Patient Financial Services Representative, Full Time - Days

UChicago Medicine; Burr Ridge (IL); Remote; USD 35,000 - 50,000; Full time

Job summary

Join UChicago Medicine Ingalls Memorial as a Patient Financial Services Representative in Burr Ridge. This role involves critical analysis for billing and collections, ensuring compliance with regulations while maintaining relationships with patients and payers. Ideal candidates will be detail-oriented team players ready to uphold the organization's revenue integrity in a fast-paced environment.

Qualifications

• Ability to interpret contracts and understand reimbursement programs.
• Knowledge of HIPAA, billing, and collection regulations.
• Typing speed of 30 words per minute.

Responsibilities

• Manage account receivables and billing for accurate revenue collection.
• Resolve outstanding issues and adhere to quality control measures.
• Act as a liaison between patients and payers for post-care account matters.

Skills

Verbal skills

Written skills

Detail orientation

Analytical skills

Teamwork

Compliance

Education

High school diploma or equivalent

Associate’s degree in business, healthcare, or related field

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, ensuring 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, final resolution of insurance claims, maintaining records and reports in accordance with department procedures, and understanding all State and Federal regulations related to billing and collections.

Essential Job Functions

• Participate in process improvement and cross-training activities regularly.
• Keep management informed of outstanding issues and the timeliness of postings.
• Document all actions regarding account resolution comprehensively and in accordance with department requirements.
• Seek assistance when account resolution reaches a standstill.
• Maintain and comply with regulatory requirements.
• Provide written ideas to streamline and improve procedures.
• Maintain and monitor the integrity of the claim development and submission process.
• Act as a liaison between patients, providers, and payers for all post-care account resolution matters.
• Resolve problems within the guidelines of established policies and procedures.
• Maintain third-party payer relationships, including 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 understand state and federal programs for proper reimbursement
• Knowledge of HIPAA, billing, and collection regulations
• 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
• Supportive of 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
• Knowledge of Medical Terminology
• Experience with Medicare/Medicaid and Managed Care claims processing in a hospital setting
• Experience with Passport/NEBO/FSS0 systems

Position Details

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

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

Must comply with Ingalls Memorial Hospital's COVID-19 Vaccination requirement, with proof required if vaccinated. Exemptions considered per law. Pre-employment physical, drug screening, and background check required.