*Please answer the questions below when you apply to this position*

Our client which provides physician management services on behalf of the U. of IL Physician Group, is seeking to hire a Payer Project Manager for the UIC Managed Care Dept.  This position, which reports to the Director of Billing & Collections, is responsible for tracking issues, assembling supporting information, communicating and escalating claims payment issues for specific Financial Classes as assigned through the meetings, emails and/or through the UIC Managed Care dept.   This position requires knowledge of revenue cycle management, financial services, payer audits and denials, coding, and related systems along with deep root-cause understanding of common claims submission and payment issues.

Essential Duties and Responsibilities:

• Prepare weekly, bi-weekly updates for standing Joint Operating Committee (JOC) meetings
• Attend meetings with Payer Provider Relations Reps to assist in resolution of claims payment issues
• Track and update open projects to the corresponding payer Provider Relations Representatives

• Ensure the appropriate payer claims dispute resolution process is followed
• Verify all required information is included in data files sent to payers for review

• Coordinate w/ Provider Reps to ensure JOC agendas have all pending projects listed and are tracked
• Manage issues tracking file of all projects (completed and pending)
• Provide analysis of payment data implications and interpretation of outstanding claims/denial reports
• Liaise with Managed Care dept. on coordination of JOC and focused ad hoc payer meetings

Minimum Qualifications & Skills

• Associates or Bachelor’s Degree.
• Minimum of three to five years of in-depth and supported Revenue Cycle experience in a healthcare setting may be substituted for education
• Knowledge of revenue cycle\mgmt., financial services, payer audits & denials, coding, & related systems.
• Previous experience with Epic Systems, Resolute/Prelude
• Deep root-cause understanding of common claims submission and payment issues.

Desired Skills

• Interpersonal skills –Strong interpersonal skills. Ability to interact effectively and build collaborative relationships with diverse clients, stakeholders and staff members at all levels.
• Knowledge and understanding of medical billing and regulatory/payer requirements
• Communicates clearly and concisely, verbally and in writing.
• Persistence – comfortable pursuing, rebutting and escalating issues as appropriate.

If you or anyone you know is interested, qualified and immediately available please answer the below questions and send an updated resume to us for immediate review and consideration. Candidates are required to answer the below questions when applying:

• What is your highest level of education??
• How many years of medical revenue cycle management experience do you have?
• What is the largest number of physicians for which you had AR Dept. responsibility?
• Do you have previous experience with Epic Systems, Resolute/Prelude?
• What was the largest annual gross dollars billed/collected in a dept. you managed?
• Are you OK with reporting on a hybrid basis to the Chicago Loop?
• What are your minimum annual salary requirements?