Revenue Cycle Coordinator (Prior Auth) - Patient Access Management (PAM) - Patient Financial Services (PFS)

UIOWA • Iowa City, IA

6d • Hybrid

About The Position

Iowa Health Care department of Patient Financial Services is seeking a Revenue Cycle Coordinator (RCC) supervisory position that may have 3-11 direct reports that can be a mix of Merit, P&S and/or student positions and will serve as a resource for complex billing issues. You must have outstanding customer service skills, leadership abilities and excellent interpersonal and communication skills that will enable respectful interactions with a wide range of internal and external customers, including but not limited to; our patients and their families, insurance companies and third-party vendors. To be successful you will need strong analytical skills to perform quality assurance checks, productivity audits and a broad range of accounting and financial analysis to ensure effective and compliant organizational/department/unit operations. In addition to patient revenue account management, you will assist with and have responsibilities for interviewing, selection and training of new employees. You will maintain personnel records including vacation and sick leave, approve monthly time sheets; conduct performance evaluations, promotions and disciplinary action, when needed. You will 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. You must have exceptional problem and conflict resolution skills while maintaining confidentiality and professionalism. This position is primarily a combination of remote and onsite (hybrid) work locations. Remote work must be performed at an offsite location within the State of Iowa. Training will be held either on ONSITE at the HSSB building or via zoom, with location and length of training determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies and employee travel policy when working at a remote location. 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+ year of experience with prior authorizations.
• Outstanding attention to detail and proven ability to gather and analyze data and make recommendations.
• Proficient in the use of Microsoft Office Suite with strong Excel skills or comparable programs and the ability to learn and apply new software knowledge quickly.
• Experience (typically one year or more) in a high-volume customer service environment that 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.
• Ability to demonstrate the core leadership competencies and commitments for the organization which includes striving for performance excellence.
• Demonstrated proficiency in understanding medical necessity and the ability to navigate complex insurance policies and clinical criteria.

Nice To Haves

• 1+ year experience in medical claims processing, healthcare revenue cycle or medical coding.
• Advanced 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 as a team leader or supervisor.
• Experience identifying opportunities for improvements in processes, procedures and reporting.

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 accounts.
• Oversee and review employee’s work to determine if appropriate actions have been taken.
• Perform QA checks and productivity audits; identify and resolve undesirable trends; 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.
• Keep current on industry knowledge, skills and certifications to serve as a resource to employees and to conduct job duties.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 5,001-10,000 employees