Be a part of a world-class academic healthcare system at UChicago Medicine as a Billing Analyst in the Pharmacy Department.
Under the direction of the Pharmacy Manager, Accreditation and Quality, this position develops, implements, and conducts quality initiatives to ensure adherence to state and federal regulations, accreditation standards, manufacturer program requirements, payer contractual obligations, and organizational policies.
Essential Job Functions
- Submit required reports to support Risk Evaluation Strategies (REMS), manufacturer programs, accreditation organizations, and pater contractual obligations.
- Support internal and external surveys, inspections, and audits, including accreditation, payer, manufacturer, and REMS audits.
- Assist with 3rd party chargeback activities, collections and auditing, including claim reversals and corrective action follow-up.
- Create, maintain, and audit personnel files to ensure compliance with regulatory and accreditation requirements.
- Conduct patient chart audits to verify compliance with regulatory requirements.
- Coordinate medication distribution packaging validation activities, including but not limited to staff training, packaging audits, and temperature testing to ensure product integrity during transport.
- Develop, review, and maintain marketing materials to ensure regulatory and accreditation compliance.
- Monitor and audit completion of required employee training, including Corporate Compliance, HIPAA, and other mandatory education.
- Collect, analyze, trend, and document quality and operational performance metrics, including call metrics, medication events, complaints, and other metrics.
- Participate in other quality improvement initiatives and compliance, patient safety, and regulatory projects 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
- Current or Eligibility for Illinois Pharmacy Technician Licensure
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.
About Us
We've been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, we need employees with passion, talent and commitment... with patients and with each other. We're in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you'd like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we're doing work that really matters. Join us. Bring your passion.
UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities
UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.
As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.
Compensation & Benefits Overview
UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.
The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.
Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.
