University of Chicago Medical Center
Patient Accounts Operations/Systems Quality Analyst - Full Time, Days
University of Chicago Medical Center, Chicago, Illinois, United States, 60290
Job Description
Be a part of a world-class academic healthcare system, Company, as a Patient Accounts Operations/Systems Quality Analyst in the Rev Cycle Department. This position will be primarily a work from home opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area. In this role as a
Patient Accounts Analyst , you will analyze accounts, processes, and systems to find root causes of defects. Under minimal supervision, support the Patient Account Quality Assurance activities for the hospitals, focusing on ensuring billing processes (both governmental and non-governmental) are compliant, and managing operational activities for management and clerical staff in all patient account department functions. You will serve as the primary analyst and testing support for Patient Accounting and Clinical systems modules, including installations, upgrades, and fixes, collaborating with IT and operations teams. You will work on projects related to Medicare, Medicaid, and third-party billing and claims collection, overseeing aspects like charge entries, bill holds, coding initiatives, forms, and data capture. Additionally, you will review and recommend improvements to patient account and revenue cycle procedures, participate in external audits, interpret government and payer regulations, and ensure compliance with billing and collection practices. Essential Job Functions Participate in system upgrades and changes related to Patient Accounts, serving as the primary analyst and testing support for system installations, upgrades, and fixes. Collaborate with IT and operations teams, oversee new system development, and troubleshoot internal and external system issues. Maintain bill hold edits within the electronic billing system, ensuring claims are billed correctly according to government rules. Test billing requirements and updates from governmental agencies before deployment. Interpret and implement regulatory requirements related to billing and collections, remaining compliant with federal and state healthcare laws and regulations, including Medicare and Medicaid. Communicate regulatory changes to relevant teams and act as a liaison with compliance offices. Audit Patient Accounts System master files, such as charge master and insurance master files. Review and assist in developing policies and procedures for patient accounts and revenue cycle management, ensuring adherence to confidentiality and quality standards. Perform monthly accounts receivable maintenance and collaborate with departments and external organizations on financial workflows. Analyze billing, denial, rejection, and delay trends; review and approve late charge requests; create and process finance accounts and adjustments; perform manual coding for claims, especially for Medicare inpatient services, and assist staff in resolving complex account issues. Serve as a liaison to hospital departments regarding policy interpretation, participate in committees, and monitor external agencies working on behalf of the hospital. Required Qualifications Undergraduate degree and/or AA in Business, Finance, or Accounting, or relevant experience 5-7 years of management or operational experience in a large hospital financial or systems department Extensive knowledge of hospital software systems Strong analytical, problem-solving, and communication skills Ability to handle multiple projects independently Proficiency in Microsoft Office Suite (Word, Excel, Access, PowerPoint, Project, Visio) Position Details Job Type: Full Time (1.0 FTE) Shift: 8:30 am - 5:00 pm, M-F, no weekends (flexible start times) Work Location: Flexible Remote Department: Finance - Revenue Cycle CBA Code: Non-Union Why Join Us
We’ve been at the forefront of medicine since 1899, providing superior healthcare with compassion. We seek passionate, talented, and committed employees to help us advance medical innovation and serve our community. Join UChicago Medicine to make a meaningful impact and enrich human life. UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, sex, sexual orientation, gender identity, marital status, religion, national origin, age, disability, veteran status, or other protected characteristics. Compliance with COVID-19 vaccination requirements, pre-employment physicals, drug screening, and background checks are required for all employees.
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Be a part of a world-class academic healthcare system, Company, as a Patient Accounts Operations/Systems Quality Analyst in the Rev Cycle Department. This position will be primarily a work from home opportunity with the requirement to come onsite as needed. You may be based outside of the greater Chicagoland area. In this role as a
Patient Accounts Analyst , you will analyze accounts, processes, and systems to find root causes of defects. Under minimal supervision, support the Patient Account Quality Assurance activities for the hospitals, focusing on ensuring billing processes (both governmental and non-governmental) are compliant, and managing operational activities for management and clerical staff in all patient account department functions. You will serve as the primary analyst and testing support for Patient Accounting and Clinical systems modules, including installations, upgrades, and fixes, collaborating with IT and operations teams. You will work on projects related to Medicare, Medicaid, and third-party billing and claims collection, overseeing aspects like charge entries, bill holds, coding initiatives, forms, and data capture. Additionally, you will review and recommend improvements to patient account and revenue cycle procedures, participate in external audits, interpret government and payer regulations, and ensure compliance with billing and collection practices. Essential Job Functions Participate in system upgrades and changes related to Patient Accounts, serving as the primary analyst and testing support for system installations, upgrades, and fixes. Collaborate with IT and operations teams, oversee new system development, and troubleshoot internal and external system issues. Maintain bill hold edits within the electronic billing system, ensuring claims are billed correctly according to government rules. Test billing requirements and updates from governmental agencies before deployment. Interpret and implement regulatory requirements related to billing and collections, remaining compliant with federal and state healthcare laws and regulations, including Medicare and Medicaid. Communicate regulatory changes to relevant teams and act as a liaison with compliance offices. Audit Patient Accounts System master files, such as charge master and insurance master files. Review and assist in developing policies and procedures for patient accounts and revenue cycle management, ensuring adherence to confidentiality and quality standards. Perform monthly accounts receivable maintenance and collaborate with departments and external organizations on financial workflows. Analyze billing, denial, rejection, and delay trends; review and approve late charge requests; create and process finance accounts and adjustments; perform manual coding for claims, especially for Medicare inpatient services, and assist staff in resolving complex account issues. Serve as a liaison to hospital departments regarding policy interpretation, participate in committees, and monitor external agencies working on behalf of the hospital. Required Qualifications Undergraduate degree and/or AA in Business, Finance, or Accounting, or relevant experience 5-7 years of management or operational experience in a large hospital financial or systems department Extensive knowledge of hospital software systems Strong analytical, problem-solving, and communication skills Ability to handle multiple projects independently Proficiency in Microsoft Office Suite (Word, Excel, Access, PowerPoint, Project, Visio) Position Details Job Type: Full Time (1.0 FTE) Shift: 8:30 am - 5:00 pm, M-F, no weekends (flexible start times) Work Location: Flexible Remote Department: Finance - Revenue Cycle CBA Code: Non-Union Why Join Us
We’ve been at the forefront of medicine since 1899, providing superior healthcare with compassion. We seek passionate, talented, and committed employees to help us advance medical innovation and serve our community. Join UChicago Medicine to make a meaningful impact and enrich human life. UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, sex, sexual orientation, gender identity, marital status, religion, national origin, age, disability, veteran status, or other protected characteristics. Compliance with COVID-19 vaccination requirements, pre-employment physicals, drug screening, and background checks are required for all employees.
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