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Job description
Revenue Cycle Financial SpecialistBe a part of a world-class academic healthcare system, UChicago Medicine, as a Revenue Cycle Financial Specialist with the Revenue Cycle - Revenue Cycle Department. This is a remote, work from home opportunity, and you may be based outside of the greater Chicagoland area.In this role Revenue Cycle Financial Specialist will be responsible for collecting and verifying demographic, guarantor and insurance information, educate patients, physicians, staff, etc. on the financial process.Responsibilities include:Ensuring that preauthorization's/referrals and precertification's are in completed in accordance with payor requirements and prior to the scheduled encounter.Working closely with the staff in the clinical areas to acquire necessary clinical information needed to complete authorization processManaging the process of aiding patients and their representatives with securing reimbursement for Hospital and Physician services providedAssisting patients in identifying and selecting an available option for insurance coverage and/or financial assistance.Working collaboratively with patients, UCM "coverage vendors" – currently GLM, clinical staff, Patient Financial Services, Ambulatory Patient Financial Specialists, urban health collaborative and case management/social workManaging all patient account types; outpatient, inpatient, ED and UCPG, and maintaining a thorough knowledge of the hospital's revenue cycle processUnderstanding the Hospitals Inpatient/Outpatient treatment policies and how they relate to each patient's situation. Having the responsibility of coordinating and monitoring the flow of revenue generated not only by UCMC but UCPGBeing involved in extensive utilization of the Hospitals revenue systems and constant interaction with patients, physicians, insurance companies, donors and other members of the Hospitals' staffEssential Functions:Perform all registration functions: interview patients via telephone or face to face to collect demographic, guarantor, insurance and financial data requiredVerify the benefits as well as the coverage for services scheduledPrioritize work based on appointment date to ensure everything is completed prior to the patient arriving at UCMObtain referrals/authorizations or precertification's to ensure reimbursement of services rendered. Document necessary authorization information in appropriate fields for clean billing and paymentRecognizes those patients in need of financial assistance, and provides charity applications or referrals to the Department of Human ServicesInterview the patients to be able to assist in managing a resolution of a patient's multiple visit accounts and be compliant with Hospital financial resolution policiesAdvise and counsel patients and guarantors regarding patient rights, responsibilities and procedures as it relates to payment for Hospital and ProFee careAct as an advocate to ensure positive guest relations for resolution of inquiriesUtilize all available resources to identify the most appropriate financial resolution for both the patients and UCMRemain current of any city, county, state or federal regulation(s) that may change the structure and management of the current Affordable Health Care Act or Fair Patient Billing Act guidelinesAssists patients with financial assistance applicationsEnsure completed Financial Assistance applications get routed to the appropriate department for consideration in a timely mannerWork closely with both the patient and UCM MA-NG vendor to assist in the completion of the Medicaid application. This will ensure that the Medicaid applications are completed in a timely mannerAssist the patient in understanding the Health Insurance Exchange plans potentially available to them, and support the patient in contacting the UCM MA-NG vendor to start the processCollect any necessary payments due prior to services being rendered using PPE system through PASSPORTInvestigate and resolve charge disputes, process patient refunds, identify adjustments required to accounts and make corrections. Make payment arrangements on past due balancesEscalate issues that per Treatment Policy that require administrative intervention or reviewMeet daily productivity and quality expectations and participate openly in departmental audit/review process to ensure that all work is monitored and completed based on departmental standards.Other Duties AssignedRequired Qualifications:Two (2) years' experience in medical insurance verification and other hospital finance areas (including Hospital Billing)Windows based PC experienceHigh degree of initiative and problem-solving abilityStrong analytic and financial assessment abilities as well as the ability to pay close attention to a variety of details are required to perform duties effectivelyMust be able to multitask and be able to function in a constantly changing environment.Requires the ability to problem solve independently and must be strongly invested in team managementMust have knowledge of accounting principles with excellent verbal, math and presentation skillsPreferred Qualifications:Bachelor's degreePosition Details:Job Type/FTE: Full Time (1.0 FTE)Shift: Days, Monday-FridayUnit/Department: Revenue CycleWork Location: Full Time Remote (Will need to commit to onsite training or required onsite meetings)CBA Code: 743 Clerical
Worksite address
willowbrook, IL, 60527, US
Who can apply
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