The Registration & Insurance Specialist conducts detailed reviews of patient insurance information to determine network status and verify active coverage. They also collaborate with managed care teams to secure single case agreements and manage billing activities to ensure accurate patient financial records.
The Referral Specialist manages internal and external referrals across the UChicago Medicine ambulatory footprint to ensure expeditious conversion to scheduled visits. They also provide support for branded vanity lines and MyChart inquiries while performing financial clearance and insurance registration tasks.
The Quality Intelligence Specialist ensures the effective use of clinical data and documentation tools to support high-quality patient care and regulatory reporting. They collaborate with clinical and IS teams to identify performance opportunities and ensure the validity of data used for quality initiatives.
The Revenue Cycle Financial Specialist is responsible for verifying insurance, obtaining authorizations, and managing patient financial accounts to ensure accurate billing. They also assist patients with financial assistance applications and provide counseling regarding payment options and patient rights.
The Clinical Documentation Nurse supports quality improvement by abstracting and analyzing medical records and hospital billing codes. They also educate clinical teams on documentation needs to ensure accurate reporting and evidence-based care.
The Senior Programmer will design, develop, and maintain enterprise web applications and automated solutions using Python and modern web frameworks. They will collaborate with cross-functional IT teams to translate business requirements into secure, scalable technical solutions while supporting deployment pipelines.
The Senior Surgical Clinical Reviewer ensures reliable data collection and submission to the ACS NSQIP database for adult and pediatric programs. They also facilitate clinical quality improvement initiatives, analyze outcomes, and provide educational resources to surgical teams.
The PFS Representative is responsible for the collection and final resolution of insurance claims while maintaining accurate records in accordance with hospital procedures. This role involves processing claims, managing denials, and communicating with third parties to ensure timely payments.
The Clinical Pharmacist Specialist will lead the development and optimization of the claim denials program and perform drug reimbursement analyses. They will also provide support for appeal letters and present data findings to pharmacy, finance, and managed care leadership.
Develop and maintain SOAR playbooks to automate security tasks and streamline incident response workflows. Investigate security threats, analyze logs and network captures, and enhance SOC operational efficiency using AI-driven workflows.
The analyst assists in defining systems scope and objectives through research and analysis of business and user needs. Responsibilities include documenting requirements in BRDs and revising application configurations and logic.
