Revenue Cycle Financial Specialist

University of Chicago Medical Center | Patient Access Services | Full Time (40 hrs per week) | Day Shift Be a part of a world-class academic healthcare system, **UChicago Medicine**, as a **Revenue Cycle Financial Specialist** with the **Revenue Cycle - Patient Access Services Department. This is a remote, work from home opportunity,** and you may be based outside of the greater Chicagoland area. In this role **Revenue Cycle Financial Specialist** will be responsible for collecting and verifying demographic, guarantor and insurance information, educate patients, physicians, staff, etc. on the financial process. - Responsible for ensuring that preauthorization’s/referrals and precertification’s are in completed in accordance with payor requirements and prior to the scheduled encounter. - Work closely with the staff in the clinical areas to acquire necessary clinical information needed to complete authorization process - Manage the process of aiding patients and their representatives with securing reimbursement for Hospital and Physician services provided - Assist patients in identifying and selecting an available option for insurance coverage and/or financial assistance. - Work collaboratively with patients, UCM “coverage vendors” – currently GLM, clinical staff, Patient Financial Services, Ambulatory Patient Financial Specialists, urban health collaborative and case management/social work - Manage all patient account types; outpatient, inpatient, ED and UCPG, and maintain a thorough knowledge of the hospital’s revenue cycle process - Understand the Hospitals Inpatient/Outpatient treatment policies and how they relate to each patient’s situation Have the responsibility of coordinating and monitoring the flow of revenue generated not only by UCMC but UCPG - You will be involved in extensive utilization of the Hospitals revenue systems and constant interaction with patients, physicians, insurance companies, donors and other members of the Hospitals' staff **Essential Functions** - Perform all registration functions: interview patients via telephone or face to face to collect demographic, guarantor, insurance and financial data required - Verify the benefits as well as the coverage for services scheduled - Prioritize work based on appointment date to ensure everything is completed prior to the patient arriving at UCM - Obtain referrals/authorizations or precertification’s to ensure reimbursement of services rendered Document necessary authorization information in appropriate fields for clean billing and payment - Recognizes those patients in need of financial assistance, and provides charity applications or referrals to the Department of Human Services - Interview the patients to be able to assist in managing a resolution of a patient’s multiple visit accounts and be compliant with Hospital financial resolution policies - Advise and counsel patients and guarantors regarding patient rights, responsibilities and procedures as it relates to payment for Hospital and ProFee care - Act as an advocate to ensure positive guest relations for resolution of inquiries - Utilize all available resources to identify the most appropriate financial resolution for both the patients and UCM - Remain current of any city, county, state or federal regulation(s) that may change the structure and management of the current Affordable Health Care Act or Fair Patient Billing Act guidelines - Assists patients with financial assistance applications - Ensure completed Financial Assistance applications get routed to the appropriate department for consideration in a timely manner - Work closely with both the patient and UCM MA-NG vendor to assist in the completion of the Medicaid application. This will ensure that the Medicaid applications are completed in a timely manner - Assist the patient in understanding the Health Insurance Exchange plans potentially available to them, and support the patient in contacting the UCM MA-NG vendor to start the process - Colle…