What are the responsibilities and job description for the PATIENT ACCOUNTS REPORTING ANALYST (DAYS, FLEXIBLE REMOTE) position at The University of Chicago Medicine?
Job Description :
Be a part of a world-class academic healthcare system at UChicago Medicine as a Patient Accounts Reporting Analyst for the Revenue Cycle Management department 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, pre-billing and clinic staff in resolving complex accounts and patient problems that may result in nonpayment of hospital bills
- Processes charge overrides of pro-fee 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 follow-up on all Medicare Inpatients receiving Factor Drugs to receive additional add-on payments from Medicare
Required Qualifications
Preferred Qualifications
Position Details
Why Join Us :
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 COVID-19 Vaccination requirement as a condition of employment. If you have already received the vaccination, you must provide proof as part of the pre-employment 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 pre-employment physical, drug screening, and background check are also required for all employees prior to hire.
