What are the responsibilities and job description for the Accounts Receivable Representative/Government position at University of Chicago?
Job Description:
The University of Chicago Physicians Group (UCPG) is responsible for providing billing services for medical services provided by University physicians. The UCPG department manages the accounts receivable collection and reporting processes for the Biological Sciences Division (BSD) departments.
Responsibilities:
- Perform patient and insurance verifications for various revenue cycle activities, such as working rejections, no activity follow-up accounts, registration-related functions, eligibility inquiries, and other activities that contribute to AR/Account Resolution.
- Perform revenue cycle activities to resolve account balances, including resolving claim edits, rejections, resolving complex Provider Level adjustments (PLBs), credit balances, applying payments and adjustments to accounts.
- Make insurance follow-up phone calls to payers to resolve missing remit file issues.
- Work with IT to resolve EDI file load errors and work with payers to resolve missing remit file issues.
- Communicate with revenue cycle experts regarding necessary medical records and clinical and/or billing information needed from the department to resolve accounts and escalate issues when appropriate to revenue cycle experts and/or manager.
- Complete daily payment batch reconciliation and create/update accounts within the billing system, including demographic and insurance changes or additions; and maintain documentation within the billing system for account activity.
- Assist in tasks related to projects and in the development, coordination, and review of procedures.
- Correspond with internal and external constituencies to obtain appropriate documentation and/or information in an effort to resolve the account.
Requirements:
- High school diploma or GED required.
- Background with physician billing experience required.
- Previous work with third-party payor rules, procedures, and policies in physician billing required.
- Background working with all government payors, including but not limited to Medicare, Medicare Advantage Plans, Medicaid, and Medicaid MCO's preferred.
Preferred Qualifications:
- Medical terminology certification preferred.
- PT certification preferred.
- Proficiency with Microsoft Office suite required.
- Understanding of medical terminology/documentation and basic documentation such as help screens and departmental handouts.
- Proficient using electronic medical records (EMR) systems preferred.
- Skilled in diagnosis and CPT coding terminology required.
- Previous Epic EMR experience preferred.
Working Conditions and Physical Requirements:
- Office/Remote.
Pay Range:
- $21.06 - $30.83 per hour.
Salary : $21 - $31
