Registration & Insurance Specialist, Full time- Days
About The Position
UChicago Medicine is seeking a Registration & Insurance Specialist for its Finance Department. This is a full-time, remote, work-from-home role that may be based outside the greater Chicagoland area. Under general direction, the specialist reviews patient insurance information to determine network status, verify active coverage, and assess pre- and post-billing activity, including insurance payments and self-pay balances. The role also involves initiating GAP exceptions and coordinating with managed care teams to obtain single case agreements when appropriate. Frequent communication with physicians and clinical staff supports patient care. The position calls for independent judgment, strong critical thinking and communication skills, and timely, accurate work in a fast-paced environment. The specialist documents information in Epic FYI using clear, concise notes and standard work practices; conducts complex registration and out-of-network insurance reviews; follows up with payers and revenue-cycle partners; and helps ensure patients understand their insurance plans and potential out-of-pocket costs. Other work includes reviewing 90/10 global-period patients, processing IBCCP referrals and related invoicing paperwork, and monitoring work queues and email for timely account resolution. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. The role is in the Finance Department and is classified as non-union. Employment is conditional on completing a pre-employment physical, background check, and drug screening, and complying with flu vaccination requirements; medical and religious exemptions will be considered as permitted by law. Compensation varies based on qualifications, experience, and organizational considerations. The posting refers candidates to UChicago Medicine’s benefits information but does not specify particular benefits.
Requirements
- High school diploma or equivalent.
- Three to five years of related insurance experience and two years of patient account experience, preferably in a hospital setting.
- Strong communication, problem-solving, and organizational skills.
- Ability to work independently and as part of a team.
- Ability to prioritize workload and make decisions effectively and promptly.
- Excellent written and oral communication skills.
- Proficiency in Microsoft Office Suite, especially Excel and Outlook.
- Basic understanding of health insurance types, including HMO, PPO, Medicaid, and Medicare.
- Ability to verify eligibility, benefits, and network status.
- Basic familiarity with EHR/EMR systems such as Epic, Cerner, or similar platforms.
- Basic understanding of medical terminology and insurance and billing terms.
- Accurate data entry of patient and insurance information.
- Understanding of when prior authorization or referrals may be needed.
- Knowledge of HIPAA privacy requirements and how to protect patient information.
Nice To Haves
- Previous experience with hospital information systems is strongly preferred.
- Patient account experience in a hospital setting is preferred.
Responsibilities
- Document information in Epic FYI as directed by standard work, using clear, concise notes and smart phrases or smart text.
- Perform complex registration, which may involve direct patient contact, and review insurance for out-of-network exceptions within department timeframes.
- Route cases to the appropriate clinical service line, verify insurance information, assess whether a GAP exception or single case agreement is viable, and review account notes and billing activity for insurance payments and self-pay balances.
- Follow up consistently and promptly with payers on GAP exception status and keep the clinical team informed.
- Coordinate with revenue-cycle partners on out-of-network commercial patients, ensuring appropriate handoffs and that patients understand their plans and possible out-of-pocket costs.
- Coordinate estimates and waivers when patients must accept financial responsibility for treatment.
- Review 90/10 global-period patients in a timely manner and ensure Epic FYI notes meet standard-work requirements.
- Handle IBCCP referrals according to the provided tip sheet, including allocating the OTHER guarantor and insurance plan to signify IBCCP and completing invoicing paperwork promptly.
- Monitor work queues and email inboxes and follow up on accounts to achieve timely resolution for end users.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
