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Rush University Medical Center Financial Services Representative 2 - Physician Billing in Chicago, Illinois

Job Description

Location: Chicago, IL

Hospital: RUSH University Medical Center

Department: SBO Enterprise Services

Work Type: Full Time (Total FTE between 0.9 and 1.0)

Shift: Shift 1

Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 AM)


The Cash Poster Financial Services Representative 2 works within the Revenue Cycle reporting to the Supervisor of Cash Applications. This individual is responsible for reviewing and processing all forms of payments to patient accounts in a timely and accurate manner, this includes governmental and non-governmental insurance payments and Single Billing Office (SBO) patient payments.

The Cash Poster FSR 2 will be required to investigate and resolve all payer specific variances including provider level adjustments such as interest and overpayment recovery payments and observe and report payer trends to management. Cash Poster will be required to meet all productivity and quality measures along with precise reconciliation of all forms of payments. Exemplifies the Rush mission, vision and values and acts in accordance with Rush policies and procedures.


•Accurately post hospital billing or physician billing insurance payments and SBO self-pay patient payments received via electronic funds transfer (EFT) or lockbox. This would include but is not limited to self-assigning batches according to preestablish payer rotation calendar, ensure that batches created in EPIC have accuracy focused on deposit date, appropriate payment source, payment code, payer plan, allowed amounts and remit codes when applicable.

•Demonstrate the ability of interpreting complex payer adjudications against gross charges, denied charges and determine next responsible party.

•Ensure all banking partner daily deposits for ACH and lockbox have been recorded into monthly and daily logs. User is also responsible for recording and processing of any 3rd party vendor files converting paper EOBs to electronic remittance advise (ERA) and resolve any record balancing, unmatched EOBs and monitor virtual credit cards.

•Ensure that all deposits via Cashier Office have been recorded and properly monitored for posting.

•Ensure all commercial electronic 835 remittance files sent by our HB or PB clearinghouses are delivered to our internal RUSH FTP server for processing. Users must also work on ensuring all the necessary reconciliation & balancing is intact for all incoming remittance checks tied to each ERA/835 payer file.

•Identify, create and timely resolve special projects to reduce undistributed cash and reconciliation variances.

•Ensure all collections agency payments have been received monthly and posted promptly.

•Track lost or misdirected payments by making phone call to insurance payers, clearing houses and other RUSH Revenue Cycle departments and when necessary, involve General Accounting and Treasury teams.

•Knowledge of HB and PB insurance payment manual posting and electronic 835/ERA.

•Communicate effectively with peers and internal and external customers.

•Assist manager and supervisor in resolving unclaimed cash, chargebacks, and non-sufficient funds banking notices.

•Provide feedback to management with regards to payer portals and report opportunities for electronic deposits (EFT) and electronic remittance advice (ERA) enrollments to reduce manual posting.

•Occasionally assist supervisor with peer-to-peer review of existing and new process workflows.

•Meet yearly process improvement ideas submissions.

•Other duties as assigned by management.

Required Job Qualifications:

•High school diploma or GED equivalent is necessary. College coursework in accounting, finance or office technologies preferred

•Three years of revenue cycle experience with focus on cash posting applications for hospital and professional billing

•Demonstrate knowledge of Revenue Cycle operations including but not limited to governmental and commercial payer guidelines and billing requirements.

•Must have ability to easily understand and comprehend healthcare financial banking reconciliation workflows, transaction types: wires, ACH/EFT, etc.

•Experience with EDI & 835/ERA, clearinghouses, and payer portals.

•Well versed in MS Office products.

•Participation in training sessions to maintain awareness and knowledge of evolving health care policy changes.

•Minimum two years Epic experience with expertise in hospital and professional billing payment posting including manual and electronic remittance.

•Participation in training sessions to maintain awareness and knowledge of evolving heath care policy changes.

Other information:

Preferred Experience:

•Knowledge of EPIC applications

•Knowledge of managed care contracts

•Knowledge of Healthcare Finance Revenue Cycle

•Must be proficient in Microsoft Excel and Word applications

•Strong organizational and team building skills

•Analytical and mathematical skills

•Multi-tasking ability preferred with strong time management skills

•Demonstrate resourcefulness while performing day to day job duties along with being able to adapt to changing situations with ease and speed


•Must be able to observe insurance and patient payment trends and report specifics to manager

•Ability to analyze all forms of Commercial, Medicare, Medicaid and Blue Cross explanation of benefits

•Must be able to work independently with a high degree of accuracy

Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

Position Financial Services Representative 2 - Physician Billing

Location US:IL:Chicago

Req ID 6387