Health Care Reimbursement Analyst II - College of Medicine

Hiring Department: Surgery

Location: Chicago, IL USA

Requisition ID: 1025029

Posting Close Date: May 31, 2024

About the University of Illinois Chicago

UIC is among the nation’s preeminent urban public research universities, a Carnegie RU/VH research institution, and the largest university in Chicago. UIC serves over 34,000 students, comprising one of the most diverse student bodies in the nation and is designated as a Minority Serving Institution (MSI), an Asian American and Native American Pacific Islander Serving Institution (AANAPSI) and a Hispanic Serving Institution (HSI). Through its 16 colleges, UIC produces nationally and internationally recognized multidisciplinary academic programs in concert with civic, corporate and community partners worldwide, including a full complement of health sciences colleges. By emphasizing cutting-edge and transformational research along with a commitment to the success of all students, UIC embodies the dynamic, vibrant and engaged urban university. Recent “Best Colleges” rankings published by U.S. News & World Report, found UIC climbed up in its rankings among top public schools in the nation and among all national universities. UIC has nearly 260,000 alumni, and is one of the largest employers in the city of Chicago.

This is a full-time and benefits eligible position. UIC offers competitive salaries commensurate with experience. In addition all full time benefits eligible positions include a comprehensive benefits package which include; Health, Dental, Vision, Life, Disability & AD&D insurance, a defined benefit pension plan as well as paid leave which includes; Vacation, Holiday and Sick. In addition we offer tuition waivers for employees and dependents. Click for a complete list of Employee Benefits.

Description:

Under the general supervision of the Director of Billing and Director of Administrative Operations, the Health Care Reimbursement Analyst II will be responsible for using knowledge of Medicare, Medicaid and Managed Care regulations, to produce monthly, quarterly, and annual reports to ensure all possible reimbursement enhancements or opportunities are captured. The Health Care Reimbursement Analyst II will work with members of the department and division to bill clean and timely claims to insurance companies, along with referrals/authorizations, correct and billable CPT and diagnosis codes. The Health Care Reimbursement Analyst II will possess the knowledge and significant experience in core areas of financial clearance, coding, billing, and AR Denial/Encounter Reconciliation.
Duties & Responsibilities:

• Complete analysis of new development and trends and/or proposal in the reimbursement field to determine the financial impact for the Department.

• Assist management in the analysis and development of third party contractual allowances, using financial and statistical modeling.

• Assist management in the analysis and development of action plans of AR Denials, using financial modeling, for review of payer pattern and to determine whether an appeal is warranted.

• Assist more senior staff members in the review of existing operations procedures and makes recommendations for the development of settlement data to maximize reimbursement from third party payers including training financial counselors and related support staff.

• Recommend improvements and modifications to divisional operating procedures to maximize operating efficiency and reimbursement.

• Complete reviews and analyses of prior years’ outstanding AR reports to resolve outstanding issues within regulations and within the time frame imposed by the payers’ statute of limitations.

• Review current and prior years’ data and other necessary variance explanations, in coordinating the annual financial audit.

• Physician relations and communication: connect with Physicians on a regular basis to discuss areas for improvement in the billing process.

• Maintain up-to-date understanding of the billing regulations and hospital physician billing requirements.

• Perform other related duties and participate in special projects as assigned.

Minimum Qualifications Required:

To Apply: For fullest consideration click on the Apply Now button, please fully complete all sections of the online application including adding your full work history with specific details of your duties & responsibilities for each position held. Fully complete the education, licensure, certification and language sections. You may upload a resume, cover letter, certifications, licensures, transcripts and diplomas within the application.

Please note that once you have submitted your application you will not be able to make any changes. In order to revise your application you must withdraw and reapply. You will not be able to reapply after the posting close date. Please ensure the application is fully completed and all supporting documents have been uploaded before the posting close date. Illinois Residency is required 180 days of employment.

The University of Illinois System is an equal opportunity employer, including but not limited to disability and/or veteran status, and complies with all applicable state and federal employment mandates. Please visit Required Employment Notices and Posters to view our non-discrimination statement and find additional information about required background checks, sexual harassment/misconduct disclosures, and employment eligibility review through E-Verify.

The university provides accommodations to applicants and employees. Request an Accommodation