UChicago Medicine · 3 months ago
Patient Accounts Operations/Systems Quality Analyst - Full Time, Days
Chicago, IL
Full-time
Hybrid
Mid, Senior Level
$72K/yr - $97K/yr
5+ years expThe University of Chicago Medicine is a world-class academic healthcare system, and they are seeking a Patient Accounts Operations/Systems Quality Analyst in the Rev Cycle Department. This role involves analyzing accounts and processes to identify defects, supporting quality assurance activities, and ensuring compliance in billing processes for the hospital.
Health CareHospitalMedicalMedical Device
Responsibilities
Analyze accounts, processes and systems to find root causes of defects
Support the Patient Account Quality Assurance activity for the Hospitals
Work as primary analysts and testing support on Patient Accounting and Clinical systems module/step installations, upgrades and fixes; working with IT and operations resources
Work on projects for Patient Accounting and Clinical systems to support activities related to Medicare, Medicaid and all third party billing and collection of claims
Assist in overseeing the patient accounting and revenue cycle areas including charge entries, bill holds, coding initiatives, forms and data capture, etc
Review and make recommendations on patient account and revenue cycle procedures/policies as they pertain to quality assurance
Involved with external patient accounting audits, gathers and interprets government, state and private payer regulations
Review hospital enrollment statuses and review admission, billing and collection practices as appropriate
Assist with analysis of, tracking of and review of all internal/external audit requests
Serve as liaison to other hospital departments regarding policy and procedure interpretation as it relates to efficient Medicare, Medicaid, dual eligibility, State and federal HMO’s and all third party regulations, reimbursement and ensure patient accounts processes and procedures are in place and adhered to
Participate in all system upgrades and changes that relate to Patient Accounts
Assist in overseeing development, installation and/or implementation of new computer based systems, and changes to existing systems as they affect patient accounting services
Assist in problem solving on all internal and external systems
Maintain bill hold edits from current NEBO/ECARE electronic billing system, ensure claims are billed correctly
Assist with the interpretation and implements regulatory issues related to billing/collection, and clinical trials
Audit Patient Accounts System master files; such as charge master and insurance master, etc
Review and assist in the development and audit of patient accounts and revenue cycle related policies and procedures
Assist Managers and Directors in developing and documenting policies/procedures
Review and report on corrections to non-covered billing processes, credit balance process, patient correspondence, system generated letters and statements, and staff generated communications
Perform monthly A.R. Maintenance on Accounts Receivable by requesting and reviewing approved write-off’ criteria
Review billing, denial, rejection, and delays trends
Review and Approve Late Charge entry requests
Create new finance accounts, process adjustments to write off the charges on a monthly basis
Process charge overrides of pro-fee charges on Medicaid accounts for services performed by Assistant Physician Nurses (APNs)
Perform manual coding of claims and follow-up on all Medicare Inpatients receiving Factor Drugs to receive additional add-on payments from Medicare
Assist billers, hospital administrators, pre-billing and clinic staff in resolving complex accounts and patient problems that may result in nonpayment of hospital bills
Assist 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 payers
Serve as liaison to other hospital departments regarding policy and procedure interpretation as it relates to efficient Medicare, Medicaid, dual eligibility, State and federal HMO’s and all third party regulations, reimbursement and ensure patient accounts processes and procedures are in place and adhered to
Participate in committees and forums as a representative of the Hospitals on financial issues
Assist in the selection and ongoing monitoring of external agencies working on behalf of the Hospitals
Qualification
Required
Undergraduate degree and/or AA in Business, Finance or Accounting, preferred and/or applicable years of experience
5-7 years of progressively increasing management and/or operational experience in a large hospital financial or financial systems department
Extensive knowledge of general hospitals software systems
Excellent analytical and problem-solving skills
Ability to independently handle multiple priority projects simultaneously and efficiently
Excellent verbal, written communication, presentation, leadership, and project management skills
Ability to understand and interpret federal regulations
Ability to use Microsoft Office Suite including MS Word, Excel, Access, PowerPoint, Project and Visio
Benefits
Compensation & Benefits Overview
UChicago Medicine is committed to transparency in compensation and benefits.
Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.
Company
UChicago Medicine
The University of Chicago Medicine has been at the forefront of medicine since 1927, when we cared for our first patients.
5001-10000 employees
H1B Sponsorship
UChicago Medicine has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (38)
2024 (31)
2023 (28)
2022 (17)
2021 (23)
2020 (17)
Funding
Current Stage
Late StageTotal Funding
$112.4MKey Investors
National Institutes of Health
2019-04-10Grant· $9M
2018-10-14Grant· $3.4M
2017-05-24Grant· $100M
Leadership Team
Ivan Samstein
Executive Vice President and Chief Financial Officer, University of Chicago Medicine
Jason Keeler
Executive Vice President and COO
Recent News
Chicago Business Journal
2025-03-10
Medical Xpress - latest medical and health news stories
2025-02-01
Investing.com
2024-12-17
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