Billing Analyst I, Full-Time Days

University of ChicagoChicago, IL
Hybrid

About The Position

Be a part of a world-class academic healthcare system at UChicago Medicine as an Billing Analyst I in the Pharmacy Department. Under the direction of the Executive Director, Ambulatory Pharmacy Business Development and the Director, Pharmacy Contracting, Finance, and Metrics, the Billing Analyst I monitors billing operations for ambulatory pharmacy accounts payable and other business metrics. The Billing Analyst I works with the Senior Billing Analyst, Ambulatory Pharmacy, Specialty Pharmacy, Supply Chain, and Nursing to verify the accuracy and reconcile supply and facility-based charges. The Billing Analyst I audits charts to verify charge documentation, identifies patterns, makes recommendations for workflow changes to reduce charge capture issues.

Requirements

  • Bachelor’s degree
  • Minimum 1-3 years’ experience with pharmacy or hospital billing operations
  • Proven working knowledge of CPT and ICD-9 coding systems required -- certification required within twelve months of job hire: CPC, RHIT, RHIA or any combination.
  • Successful completion of medical terminology class.
  • Familiarity with large healthcare information systems (past experience with IDX, OACIS, EPIC and/or Last Word preferred).
  • Experience in PC based spreadsheets and word processing.
  • Must be analytical and have excellent written and verbal communications.
  • Demonstrated experience in managing interpersonal relationships and in handling multiple priorities effectively

Nice To Haves

  • AAPC

Responsibilities

  • Ensure all ambulatory and specialty third party charges are being paid and identify any reimbursement losses from third party payers.
  • Follows all departmental policies, procedures, and billing regulations such as LMRPs, APCs, diagnosis coding and documentation.
  • Interfaces with Nursing, Vendors, and Supply Chain to reconcile discrepancies in charge and procedural documentation
  • Works with Supply Chain to enter new product information to assure correct accounts and billing codes have been assigned
  • Assists in resolution of charge disputes or third-party audits
  • Performs other duties related to revenue capture and reimbursement as assigned.
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