Patient Accounts Analyst, Full Time - Days

Be a part of a worldclass academic healthcare system at UChicago Medicine as a Patient Accounts Reporting Analyst for the Revenue Cycle Managementdepartment at our Burr Ridge IL location. This position will be primarily a work from home opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area.

Under minimal supervision ensures that governmental billing processes are in compliance. Works with revenue Cycle Management in assigning the appropriate billing codes and initiates changes to facilitate the Medicare billing process. Works with IS Programmers to test LastWord/Centricity upgrades and fixes liaison for RAC related issues internal and with RAC agency. Works with various teams to ensure that efficient Medicare and patient accounts processes and procedures are in place and adhered to. Works on Centricity and Phoenix projects to support activities relating to Medicare and other third party billing and collection of accounts. Provides training and support on systems to the team.

Essential Job Functions

• Maintains billhold edits from NEBO electronic billing system ensures claims are billed correctly implements and works with IS staff and tests new billholds tests billing requirements and/or changes from governmental and nongovernmental agencies to ensure that the changes made by IS are working prior to installation into the production environment in LastWord
• Assists billers hospital administrators prebilling and clinic staff in resolving complex accounts and patient problems that may result in nonpayment of hospital bills
• Processes charge overrides of profee charges to IDPA accounts for services performed by Assistant Physician Nurses (APNs)
• Assists the Revenue Cycle Management Department with the correct assignment of revenue codes and CPT/HCPCS codes to ensure claims are accurately presented to Medicare and other third party payors
• Creates new finance accounts process adjustments to write off the charges on a monthly basis and handles Department of Treasury MSP refunds working with various departments and third party payors
• Remains abreast of new regulations and Medicare billing changes and communicate changes to appropriate areas
• Participates on various teams for upgrades to systems and provides training to staff on upgrades. Coordinates and takes the lead on special projects handles special requests from various departments resolves issues regarding accounts and LastWord
• Acts as a liaison between finance HIM and compliance office for CERT and PCA issues to ensure that special request for records received from Medicare are gathered and properly submitted to meet deadlines
• Assists the Office of Compliance in annual OIG audits and annual organization compliance audits. Performs quarterly audits to review compliance and revenue enhancement and ECARE billing edits to ensure viability
• Performs manual coding of claims and followup on all Medicare Inpatients receiving Factor Drugs to receive additional addon payments from Medicare

Required Qualifications

• Undergraduate degree in Business Finance or Accounting or applicable area
• Five or more years of experience in financial software systems
• Experience working in analytics (reporting/trends)
• Expert in Excel
• Computers skills: MS Word Excel Access PowerPoint Project Visio and Tableau and applicable systems

Position Details:

• Job Type/FTE: Full Time (1.0FTE)
• Shift: Days
• Location:Flexible Remote
• Unit/Department: Revenue Cycle Management
• CBA Code: NonUnion

Weve 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. Were in this together: working to advance medical innovation serve the health needs of the community and move our collective knowledge forward. If youd like to add enriching human life to your profile UChicago Medicine is for you. Here at the forefront were 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.

Must comply with UChicago Medicines COVID19 Vaccination requirement as a condition of employment. If you have already received the vaccination you must provide proof as part of the preemployment process. This is in addition to your compliance with the Flu Vaccination requirement as well. Medical and religious exemptions will be considered consistent with applicable law. Lastly a preemployment physical drug screening and background check are also required for all employees prior to hire.

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 fulltime 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.