About The Unit: The University of Chicago Physician's Group (UCPG) is the central organization that supports the clinical activity of approximately 800 physicians at the University of Chicago. These clinically active faculty collectively form the University of Chicago Physicians Group (UCPG). UCPG provides physician revenue cycle management for medical services provided by University physicians. UCPG also manages the University of Chicago Health Plan.
Unit Job Summary: Responsible for assisting the A/R Manager and team by performing all aspects of medical insurance billing including such tasks as charge entry and cash posting. Work with University clinical departments to obtain the necessary information to process claims and reports. Perform daily duties and assignments as requested.
Support manager and revenue cycle team by completing special projects assigned on a daily, weekly and monthly basis including but not limited to the Public Aid Fallout Report, Claim Logic, Real Med, AIMS and Claim Form Edits. Review monthly reports of rejections; analyze Aged Trial Balances (ATBs) for monthly department meetings. Create spreadsheets to be presented at monthly meetings, follow up and analyze specific physician and/or departmental ad hoc reports and provide recommendations for improvement. Prepare data for meetings with payers when requested.
Introduce routine methods and procedures to new employees, monitoring performance as needed, assist team members in processing claims, review PCS workfiles, periodically review Public Aid daily claims for accuracy and billing trends. Train laterally transferred, promoted or newly hired staff on medical billing processes when required and perform special projects as assigned.
Unit Education: Knowledge of ICD-9CM and CPT-4 coding required; knowledge of electronic billing and medical records systems (i.e., IDX, Medicode, Oasis, Medicare, Public Aid and Last Word) required.
Unit Experience: Knowledge of and experience in third party payer rules, procedures and policies in all areas of billing and collection required; PC experience which includes spreadsheet, word processing and database software.
Unit Job Function Competencies: Candidates must demonstrate the following competencies: manage interpersonal relationships and interact/communicate with clarity, tact and courtesy with patrons, patients, staff, faculty, students and others; communicate effectively in English, both orally and in writing; identify priorities; recognize and resolve or refer problems; work effectively with supervision and as a part of a team.
Proven ability to effectively introduce procedures and processes to co-workers and other individuals required; demonstrated ability in decision making and accountability; Medical terminology certification preferred; use or learn a range of position-related software applications.