Revenue Cycle Coordinator (HBPB Reimbursement Verification) - Physician/Hospital Accounts Receivable Management (PHARM) - (PFS)

UIOWA•Iowa City, IA

8h•Hybrid

About The Position

University of Iowa Health Care’s department of Patient Financial Services is seeking a Revenue Cycle Coordinator for the Physician Hospital Accounts Receivable Management (PHARM) division for a lead or supervisory position that may have 4-6 direct reports that will serve as a resource for complex billing issues. The position has oversight of Reimbursement Verification as part of the financial and insurance related team in the healthcare financial services industry. The Revenue Cycle Coordinator provides a retrospective analysis of all claims/billing activities as it relates to PFS (Patient Financial Services) functions; including but not limited to registration, coding, billing, payment posting, credits, self-pay billing, denials and in-depth contractual compliance analysis. This position is eligible to participate in remote work and applicants who wish to work remotely will be considered. Training will be held either ONSITE or via ZOOM from the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Successful candidates must comply with requirements of the remote work program and related policies. University of Iowa Health Care—recognized as one of the best hospitals in the United States—is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives.® WE CARE Core Values: Welcoming - We have an environment where everyone has a voice that is heard; that promotes the dignity of our patients, trainees, and employees; and allows all to thrive in their health, work, research, and education. Excellence - We achieve and deliver our personal and collective best in the pursuit of quality and accessible health care, education, and research. Collaboration - We collaborate with health care systems, providers, and communities across Iowa and the region as well as within our UI community. We believe teamwork—guided by compassion—is the best way to work. Accountability - We behave ethically, act with fairness and integrity, take responsibility for our own actions, and respond when errors in behavior or judgment occur. Respect - We create an environment where every individual feels safe, valued, and respected, supporting the well-being and success of all members of our community. Empowerment - We commit to fair access to research, health care, and education for our community and opportunities for personal and professional growth for our staff and learners.

Requirements

Bachelor’s degree or equivalent education and experience in a financial, medical billing, coding and/or revenue cycle environment(s).
1-3 yrs supervisor experience
Ability to anticipate needs, problems, and potential issues and use judgment, foresight, and problem-solving skills to troubleshoot, recommend and implement solutions.
Demonstrate careful attention to detail and accuracy, strong organizational skills, and the ability to handle multiple tasks quickly and effectively, proactively establish priorities, and meet deadlines.
Excellent written and verbal communication skills are required including the ability to compose communications and grammatically correct documents in a concise, logical, and organized manner.
Demonstrates an ability to manage difficult conversations and resolve conflicts; ability to influence (without authority), and experience with escalation techniques.
Demonstrated skills in time management and managing multiple priorities.

Nice To Haves

1+ year experience in medical claims processing, healthcare revenue cycle or medical coding.
Knowledge of medical terminology and health care billing.
Demonstrated ability to prioritize and coordinate inquiries and concerns of customers: patients, staff, administration and public.
Experience identifying opportunities for improvements in processes, procedures and reporting.
Experience and knowledge of Patient Financial Services’ functions, systems, processes, and policies.

Responsibilities

Supervise work of Patient Account Representatives and/or Revenue Cycle Representatives and serve as a payor expert and technical resource.
Develop new and current staff through training to improve revenue cycle knowledge; work with staff to suggest additional options to resolve patient account inquiries.
Oversee and review employee’s work to determine if appropriate actions have been taken with regard to receipt of correct reimbursement.
Serve as a liaison to resolve related under and overpayments.
Perform QA checks and productivity audits; identify and resolve undesirable trends and reimbursement errors; prepare reports to assure quality and productivity requirements are being met.
Develop and monitor employee performance goals to ensure compliance.
Implement new processes developed by management to ensure processes are operating effectively and efficiently; make recommendations based on analysis of data.
Gather and respond to requests for information in response to benchmark surveys or questionnaires required by external agencies.
Assist with and have responsibilities for interviewing, selection and training of new employees.
Will maintain personnel records including vacation and sick leave, approve monthly time sheets; conduct performance evaluations, promotions and disciplinary action, when needed.
Identify training and education deficiencies and provide training, guidance and coaching when needed.
You will assign and evaluate work for the units that you and your team support.
Work with other department supervisors to develop and implement staff performance standards and the coordination of intra- and inter-unit operations and procedures.
Keep current on industry knowledge, skills and certifications to serve as a resource to employees and to conduct job duties.