Clinical Revenue Supervisor

Department

BSD UCP - Revenue Cycle - Accounts Receivable Non Government

The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprise the largest unit of the University, accounting for 60% of its annual budget. All physician, hospital, and clinic services are managed through the Medical Center, which is a $1.3 billion enterprise. The BSD includes the Pritzker School of Medicine, approximately 20 academic units, degree‑granting committees, and research centers and institutes.

The BSD is located on the University’s main campus in Hyde Park, ten minutes south of downtown Chicago. BSD’s patient care operations are conducted primarily at the University of Chicago Hospital and clinics, which share the same campus.

The University of Chicago Practice Plan (UCPP) is the central organization that supports the clinical activity of nearly 850 clinically active faculty practicing at the University of Chicago. These clinically active faculty collectively form the University of Chicago Physicians Group (UCPG). The UCPG department provides billing services for medical services provided by University physicians and manages the accounts receivable collection and reporting processes for the Biological Sciences Division (BSD) departments.

Each physician is a faculty member and is based in a specified department in the BSD.

The job provides professional support and solves straightforward problems in projects related to revenue cycle operations, including activities related to charging, billing, and collecting. It coordinates the management of successful billing and compliance activities with department managerial and executive staff.

The Clinical Revenue Supervisor oversees physician claims billed through hospital outpatient clinics, ensuring effective management of claim submission, denial follow‑up, appeals, and payer escalations. This role leads both internal and external staff, directs daily operations, sets team priorities, and coordinates with other supervisors to maintain efficient workflows. The supervisor is responsible for resolving complex revenue cycle issues while supporting accurate billing, timely collections, and compliance with regulatory standards.

In addition, the position provides professional support on projects related to charging, billing, and collections, working closely with department leadership to drive successful revenue cycle and compliance outcomes.

• Oversees the AR follow‑up and denial resolution process with minimal direct oversight.
• Proactively reviews current workflows for AR resolution with the intention to improve, implement, communicate and maintain an efficient AR resolution process.
• Identifies and resolves the systematic and/or operational root causes of denials and outstanding AR.
• Oversees and manages the AR follow‑up work queues (WQ) and proposes both short and long‑term enhancements that support business needs.
• Assists manager with maintaining payer scorecards, creating payer meeting agendas, and communicating issues to provider representatives.
• Works with the payers on escalated account resolution, identifies and submits high‑complexity and other escalated payer projects.
• Creates simple to moderately‑complex reports that are necessary for payor projects using a variety of business tools.
• Proactively reviews payer communication, initiates payer policy and rule change implementation, and proposes changes to front‑end or back‑end edits.
• Communicates clearly and professionally with the other UCPG units, clinical departments, external vendors, and payers in effort to build partnerships that result in denial resolution and prevention.
• Provides AR follow‑up expertise to other UCPG and UCM business units as needed.
• Works closely with the Coding Education team to suggest opportunities for coder and provider training.
• Assists clinical departments in resolving escalated AR and denial issues.
• Works with Hospital Billing (HB) team on AR issues that cross between PB, HB, or SBO applications.
• Provides AR follow‑up training to existing and new AR follow‑up…