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.
Essential Job Functions
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.
Required Qualifications
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
Preferred Qualifications
Position Details
Job Type/FTE: Full-Time (1.0 FTE)
Shift: Days
Work Location: Hybrid (Remote and Onsite)
Unit/Department: Pharmacy
CBA Code: Non-Union
In this role, we anticipate that you will be scheduled to work 8-hour shifts, day shift approximately between the hours of 9am-5:30pm and will not be scheduled for on-call shifts. We anticipate you will be scheduled to work a remote-hybrid schedule. The days of the week that you are scheduled will be Monday-Friday, and no weekends. This is subject to change.
