Accounts Receivable Analyst

Department

BSD UCP - Revenue Cycle - Cash Application

About the Department

The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprises the largest unit of the University, accounting for 60% of its annual budget. All physician, hospital, and clinic services are managed through the Medical Center, which is a $1.3 billion enterprise. The BSD includes the Pritzker School of Medicine, approximately 20 academic units, degree granting committees, and research centers and institutes. The BSD is located on the University's main campus in Hyde Park, ten minutes south of downtown Chicago. BSD's patient care operations are conducted primarily at the University of Chicago Hospital and clinics, which share the same campus. The University of Chicago Practice Plan (UCPP) is the central organization that supports the clinical activity of nearly 850 clinically active faculty practicing at the University of Chicago. These clinically active faculty collectively form the University of Chicago Physicians Group (UCPG). The University of Chicago Physicians' Group (UCPG) is a component of the physician practice plan for the University of Chicago. The UCPG department provides billing services for medical services provided by University physicians and manages the accounts receivable collection and reporting processes for the Biological Sciences Division (BSD) departments. Each physician is a faculty member and is based in a specified department in the BSD.

Job Information

Job Summary:

The Cash Application and Credit Resolution Team Lead is responsible for providing guidance, training, and support to team members while ensuring the accuracy and timeliness of payment posting and account resolution. This role serves as the primary resource for staff questions, workflow reviews, and escalated account issues, working closely with the Manager and Business Analyst to maintain effective processes and training documentation.

Responsibilities:

• Serve as the Team Lead for the Cash Application and Credit Resolution team.

• Train new employees and review workflows with current team members.

• Partner with the Manager and Business Analyst to maintain and update workflows, training documents, and standard operating procedures.

• Review and correct potential payment posting issues identified by follow-up staff.

• Investigate and resolve escalated patient account issues.

• Educate staff on handling problematic accounts and provide ongoing guidance.

• Ensure all eligible payments, denials, and correspondence are posted accurately and in a timely manner, including manual lockbox and ACH payments.

• Perform revenue cycle activities to resolve account balances, including:

• Manual posting of payments, denials, and correspondence.

• Resolving remittance errors.

• Processing complex provider-level adjustments (PLBs).

• Addressing credit balances.

• Applying payments and adjustments to accounts.

• Follow up with payors and vendor websites to obtain missing documentation.

• Assist with daily workload as needed to cover staff absences.

• Communicate with internal and external stakeholders to obtain necessary documentation or information to resolve accounts.

• Contact payors directly to follow up on claims, update account information, and submit corrected claims as needed.

• Research and resolve missing payments routed to Epic work queues, including:

• Reviewing and understanding cash receivables processes.

• Understanding payment posting within the Epic system.

• Accessing insurance portals to review payment/denial details.

• Working with insurance vendors to locate or reissue misdirected payments.

• Updating payment demographics with insurance vendors.

• Working within clearing accounts to transfer payments to correct patient accounts.

Competencies:

• Ability to participate as a member of the staff in identifying priorities for the work unit and participate as a member of a work group or team.

• Ability to interact and communicate with clarity, tact and courtesy with patrons, patients, staff, faculty, students and others.

• Ability to work with supervision to identify