Billing Analyst I, Full-Time Days

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 

• AAPC 

 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.