Receivables Clerk, Sr - Full Time, Days

UChicago Medicine•Chicago, IL

8d•Hybrid

About The Position

The Senior Receivables Clerk at UChicago Medicine is responsible for the daily review and error resolution of automated charge posting jobs for hospital and professional fee charges. This role involves responding to email and phone inquiries regarding laboratory charges, obtaining missing information using various systems or phone inquiry, and applying CPT and/or ICD9 coding changes according to Medicare and third-party reimbursement guidelines. The Senior Receivables Clerk also coordinates activities of Billers and other clerical staff to ensure prompt and accurate charge posting and claim preparation, trains new and existing employees, and assists in the development and implementation of new billing and audit procedures. This position requires working onsite 1-2 days per week and being based in the greater Chicagoland area.

Requirements

A completed high school diploma or GED equivalent
Three or more years of related experience in billing and/or charge posting
Knowledge of medical terminology
Considerable experience and demonstrated ability to work with multiple hospital and laboratory information systems such as IDX-Lastword, OACIS, EPIC, Misys-Lab, Misys-Copath, IDX-Bar and IDX-TES
Proficiency with computer data entry, spreadsheets, and word processing
Must be able to interact effectively with patients, colleagues, and other health care workers as well as have excellent interpersonal skills
Exceptional telephone communication skills
Must be able to perform work efficiently and effectively
Must be able to complete tasks within deadlines, following guidelines and established procedures and with appropriate documentation

Nice To Haves

A completed Associate degree
Knowledge of regulations and procedures relating to ICD-9, CPT, and HCPCS codes in relation to hospital billing procedures highly desirable
Coding training or certification
Considerable skill and experience in identifying and solving charge posting and patient billing problems

Responsibilities

Monitors performance of charge posting corrections based on daily and periodic automated charge posting error reports.
Reviews and/or performs correction of charge posting (billing) errors for hospitals laboratories charges (anatomic pathology and clinical pathology) via manual computer entry or paper submission. Documents activities appropriately.
Contacts clinic staff for activation of patient account numbers and resolution of discrepancies preventing charge posting.
Codes selected Cytopathology and/or Surgical Pathology cases for accurate CPT and ICD9 coding in Misys-Copath. Obtains missing information and releases professional fee billing.
Reviews professional fee transaction editing reports (IDX-TES). Resolves errors and obtains missing information and enters appropriate data into professional fee transaction editing system.
Performs periodic audits of automated and manual charge posting for hospitals laboratories charges (anatomic pathology and clinical pathology).
Assists UCPG staff in review of professional fee claim rejections. Resolves errors and obtains missing information. Prints supporting pathology reports as requested by UCPG.
Participates in and may chair regularly scheduled Laboratory Administration Billing Services Team meetings.
Responds to phone and email inquiries from clinic coordinators, UCPG and UCH Finance staff, and UCH patients about billing and requests for billing adjustments. Investigates and resolves inquiries or refers inquiries to other staff as appropriate.
Verifies appropriate charge posting of accounts at risk, e.g., shared MRN error resolution.
Updates accounts requiring modifier and occurrence code documentation for Advanced Beneficiary Notice (ABN) receipt. Is familiar with Laboratory National Coverage Decisions and other medical necessity rules relating to laboratory and pathology services. May assist in communicating procedures for prevention and resolution of medical necessity documentation issues to clinic staff.
Assigns tasks to biller(s) as appropriate.
Assists in data retrieval and/or data entry for special projects.
May prepare reports to monitor quality and system improvements.
Performs other duties as assigned.