About The Position

The University of Iowa Health Care Department of Patient Financial Services is seeking an entry-level Revenue Cycle Representative to work in the Emergency Department. The role provides direct service to patients and their families in a fast-paced, 24/7 team environment. Representatives work across multiple stations during a shift, including ED check-in and check-out, registration completion on workstations on wheels, and clinical pod areas. The position is 90% FTE and 100% onsite at the Medical Center on the University Campus in Iowa City. The representative supports patients, families, insurance contacts, and internal clinical staff by providing customer service, handling registration and billing information, and helping coordinate financial assistance and account inquiries. The position requires frequent walking and standing, careful attention to detail, the ability to prioritize and multitask, and respectful handling of patient privacy, dignity, and confidentiality. The schedule consists of three 12-hour shifts per week on a rotating schedule, with start times of 7:00 a.m., 12:00 p.m., or 7:00 p.m. The role also includes an on-call schedule one to two days per month and work on three to four holidays per year.

Requirements

  • Bachelor's degree or an equivalent combination of education and experience.
  • At least 6 months of related customer service experience in a professional, financial, or health care environment.
  • Strong attention to detail and demonstrated ability to gather and analyze data and maintain accurate records.
  • Proficiency with computer software such as Microsoft Office Suite (Excel, Word, Outlook, and PowerPoint) or comparable programs, and ability to learn and apply new systems knowledge quickly.
  • Ability to handle complex and ambiguous situations with minimal supervision.
  • Self-motivation and initiative to seek additional responsibilities, tasks, and projects.
  • Effective written and verbal communication and active listening skills, including professionalism when handling difficult customer or caller situations.
  • Successful history of collaborating in a fast-paced team environment.
  • Ability to follow policies and procedures and escalate issues when needed.
  • Ability to work a rotating schedule of three 12-hour shifts per week in a 24/7 environment, with shifts starting at 7:00 a.m., 12:00 p.m., or 7:00 p.m.
  • Availability for an on-call schedule one to two days per month and three to four holidays per year.
  • Ability to walk and stand frequently; the position involves this activity 66% of the time.

Nice To Haves

  • Demonstrated ability to maintain or improve established productivity and quality requirements.
  • Knowledge of HIPAA laws.
  • Knowledge of healthcare billing or the healthcare revenue cycle, insurance, and/or federal and state assistance programs.
  • Familiarity with medical terminology.
  • Experience identifying improvement opportunities and making recommendations or suggestions.
  • Experience with multiple technology platforms, such as GE, Cirius ACD, and/or Epic.
  • Ability to drive results and foster accountability throughout a team and organization.
  • Current awareness of industry trends and commitment to ongoing technical and professional skill development.

Responsibilities

  • Respond to requests from patients, visitors, and family members, and direct them to appropriate areas in a timely manner.
  • Verify insurance benefits and ensure insurance data entered into the billing system is accurate and complete.
  • Determine insurance company and financial status classifications, and enter information accurately and completely.
  • Confirm applicable patient co-payments, collect them as appropriate, and follow safe cash-handling practices so batches reconcile at the end of the shift.
  • Determine work priorities and collaborate with clinical staff to process paperwork, lab requests, and patient requests.
  • Prioritize patient visits according to admission status and total stay time, following established protocols.
  • Complete Medicare Secondary Payer questionnaires to identify the primary payer for accurate claims and regulatory compliance.
  • Identify referral and prior authorization requirements.
  • Contact appropriate internal resources to coordinate financial assistance activities as needed.
  • Assist clinical departments with inquiries about patient accounts.
  • Answer multiple incoming telephone lines and direct calls to appropriate parties.
  • Determine which forms and patient signatures are required and facilitate obtaining signatures, including HIPAA consent forms.
  • Provide respectful, professional customer service while protecting patient rights, privacy, dignity, and confidentiality.

Benefits

  • An additional 5% added to base salary for high volume.
  • An additional $4,860 for applicable prorated (90%) overnight and weekend differential while in this role.
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