University of Chicago - Chicago, IL

posted 3 months ago

Full-time - Entry Level
Chicago, IL
Educational Services

About the position

The Accounts Receivable Representative at The University of Chicago plays a crucial role in the revenue cycle team, focusing on the routine billing processes associated with physician revenue cycles. This position requires effective communication and collaboration with various stakeholders, including university departments, patients, payers, and external entities, to gather necessary information for processing claims, collecting cash, and reducing accounts receivable (AR). The representative will be responsible for researching missing payments, understanding the cash receivables process, and ensuring timely and accurate posting of payments within the Epic System. In this role, the representative will access insurance portals to review payment and denial details, contact insurance vendors to locate or reissue checks, and update payment demographics. They will also perform inquiries related to patient and insurance accounts, resolve claim edits and rejections, and manage complex provider-level adjustments. The representative will be tasked with making follow-up calls to payers, processing accounts and claims for submission, and collaborating with IT to resolve EDI file load errors. Additionally, the representative will communicate with revenue cycle experts to obtain necessary medical records and billing information, complete daily payment batch reconciliations, and assist in project-related tasks. This position requires a proactive approach to problem-solving and the ability to work effectively within a team to prioritize tasks and manage multiple responsibilities in a professional manner.

Responsibilities

  • Research missing payments via invoices routed to Epic WQs by follow up staff.
  • Review and understand the cash receivables process.
  • Review and understand how payments are posted within the Epic System.
  • Access various insurance portals to review payment/denial details.
  • Contact various insurance vendors to locate/reissue checks sent to the incorrect location.
  • Update payment demographics with insurance vendors.
  • Review and correct potential payment posting issues identified by the follow up staff.
  • Ensure all eligible payments received are posted correctly and timely, including manual lockbox and ACH payments.
  • Perform patient and insurance inquiries for various revenue cycle activities, such as working denials and eligibility inquiries.
  • Perform revenue cycle activities to resolve account balances, including resolving claim edits and applying payments.
  • Make insurance follow-up phone calls to payers and process accounts/claims for submission to third parties.
  • Work with IT to resolve EDI file load errors and missing remit file issues.
  • Communicate with revenue cycle experts regarding necessary medical records and billing information needed to resolve accounts.
  • Complete daily payment batch reconciliation and create/update accounts within the billing system.
  • Follow up with payors and/or vendor websites to obtain documentation not received with payment.
  • Assist in tasks related to projects and in the development, coordination, and review of procedures.
  • Correspond with internal and external constituents to obtain appropriate documentation and/or information.

Requirements

  • Experience in accounts receivable or revenue cycle management.
  • Familiarity with medical terminology and billing processes.
  • Proficient in using billing systems, preferably Epic System.
  • Strong communication skills to interact with various stakeholders.
  • Ability to handle multiple tasks and prioritize effectively.

Nice-to-haves

  • Experience with insurance claims processing.
  • Knowledge of EDI file management and troubleshooting.
  • Previous experience in a healthcare setting.

Benefits

  • Health insurance coverage.
  • Dental insurance coverage.
  • Retirement savings plan (401k).
  • Paid time off and holidays.
  • Tuition reimbursement for further education.
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