Patient Accounts Operations/Systems Quality Analyst - Full Time, Days

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 identify root causes of defects. Under minimal supervision, you will support the Patient Account Quality Assurance activities for the hospitals, focusing on ensuring billing processes (governmental and non-governmental) are compliant and on operational activities for management and clerical staff. You will serve as the primary analyst and testing support for Patient Accounting and Clinical systems modules, working with IT and operations teams. You will work on projects related to Medicare, Medicaid, and third-party billing and claims collection, and oversee aspects of patient accounting and revenue cycle management, including charge entries, bill holds, coding initiatives, 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. Lead analysis and testing for system installations, upgrades, and fixes, collaborating with IT and operations. Support the development and implementation of new systems and modifications to existing systems, troubleshooting issues with internal and external systems such as 3M, Centricity, Medicare systems, and more. Manage special projects as needed. 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. Oversee patient accounting functions including charge entries, bill holds, coding, and data capture. Interpret and implement regulatory requirements related to billing and collections, remaining compliant with federal and state healthcare laws. Stay informed of new billing regulations, especially Medicare updates, and communicate changes to relevant teams. Report non-compliance issues appropriately. Act as liaison between finance, HIM, and compliance departments. Audit master files such as charge master and insurance master files. Review and assist in developing and auditing policies and procedures related to patient accounts and revenue cycle. Ensure procedures adhere to confidentiality policies and include monthly AR maintenance, correction processes, and staff communications. Collaborate with other departments and external organizations to ensure financial workflows are compliant. Analyze billing trends, review denials and delays, and process adjustments and overrides. Assist with complex account resolutions, correct revenue code assignments, and ensure accurate claims submission for Medicare and other payers. Serve as a liaison to hospital departments regarding policy interpretation related to Medicare, Medicaid, dual eligibility, and third-party payers. Participate in committees and monitor external agencies involved in hospital billing and collections. Required Qualifications Undergraduate degree and/or AA in Business, Finance, or Accounting, or equivalent experience 5-7 years of management and/or operational experience in a large hospital financial or systems department Extensive knowledge of hospital software systems Strong analytical and problem-solving skills Ability to handle multiple projects independently Excellent communication, leadership, and project management skills Understanding of federal healthcare regulations Proficiency in Microsoft Office Suite including Word, Excel, Access, PowerPoint, Project, and Visio Position Details Job Type: Full Time (1.0 FTE) Shift: 8:30 am - 5:00 pm, Monday - Friday, no weekends (flexible start times) Work Location: Remote/Flexible Department: Finance - Revenue Cycle CBA Code: Non-Union Why Join Us We’ve been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent, and commitment… with patients and with each other. We’re working to advance medical innovation, serve the community’s health needs, and expand our collective knowledge. Join us and add enriching human life to your profile. Here at the forefront, we’re doing work that really matters. Join us. Bring your passion. UChicago Medicine is growing; discover how you can be part of this pursuit of excellence at: UChicago Medicine Career Opportunities. 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. Must comply with UChicago Medicine’s COVID-19 Vaccination requirement as a condition of employment. Proof of vaccination must be provided if already vaccinated. Medical and religious exemptions will be considered. Pre-employment physical, drug screening, and background check are required. Compensation & Benefits UChicago Medicine is committed to transparency in compensation and benefits. The pay range reflects current market data and organizational considerations. Actual offers will depend on qualifications and experience. Review benefits at Benefits - UChicago Medicine.

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