Revenue Cycle Representative - OBGYN

UIOWA•Iowa City, IA

2d•Hybrid

About The Position

The University of Iowa Department of Obstetrics and Gynecology is looking for a Revenue Cycle Representative. The Financial Counselor (Revenue Cycle Rep) will serve as a resource for complex In-Vitro Fertilization, Reproductive Endocrinology, and other OBGYN billing issues and will financially counsel patients. Successful candidates for this role should possess outstanding customer service skills, and excellent communication skills. A large part of this role is working with a variety of internal and external customers- including our patients and their families, insurance companies and third-party vendors. Candidates will be expected to maintain “Service Excellence” standards for all customer groups by demonstrating compassion, empathy, respect for patients’ rights as well as their privacy. Strong analytical skills are necessary, along with clinical knowledge to ensure effective and compliant organizational/department/unit operations for the Obstetrics and Gynecology department. The Financial Counselor must have a demonstrated ability to prioritize, multi-task & quickly change focus in fast-paced team environment. This role is expected to provide accurate and comprehensive information (verbally and written) to various persons regarding all third-party interactions, patient billing and customer service activities. Staff are expected to utilize exceptional problem and conflict resolution skills while maintaining confidentiality and professionalism. This position is eligible for hybrid work within Iowa after 6 months and will require a work arrangement form to be completed upon the start of your employment. 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.

Requirements

Bachelor's degree or equivalent education and experience.
Minimum 6 months revenue cycle, health insurance or related customer/patient focused service experience.
Strong attention to detail and proven ability to gather and analyze data and keep accurate records.
Proficiency with computer software applications, i.e. Microsoft Office Suite (Excel, Word, Outlook, Power Point, Teams) or comparable programs and an ability to quickly learn and apply new systems knowledge.
Demonstrated ability to remain professional while managing difficult situations with callers, customers or patients and able to handle complex and ambiguous situations with minimal supervision.
Self-motivated with initiative to seek out additional responsibilities, tasks and projects.
Excellent professional verbal and written communication skills to provide outstanding customer service and support a "Service Excellence" environment working with a professional and patient population.
Basic knowledge of medical terminology and working knowledge of HIPAA laws and regulations.

Nice To Haves

Demonstrated ability to prioritize and coordinate inquiries and concerns of customers, patients, staff, administration and public.
Medical knowledge to identify and interpret patient medical records.

Responsibilities

Implement new processes developed by management and the IVF department to ensure we are operating effectively and efficiently.
Verify benefits and provide financial counseling to patients and families to ensure they are advised of their financial obligations, with appropriate financial arrangements made according to the hospital's financial policy.
Provide financial counseling via phone and/or in person based on the patient's liability.
Provide payment options including offsite financing.
Identify trends and/or work processes for potential process improvements.
Communicate with providers, payers, patients, internal departments, co-workers, and management to resolve issues and take appropriate actions.
Perform registration duties including verifying insurance coverage.
Create episodes of care for the clinic and billing teams on donor, recipient, and gestational carrier accounts through Special Programs.
Create bundling accounts for self-pay patients.
Monitor clinic schedule for self-pay patients, collect monies as needed.
Obtain prior authorizations for infertility care.
Initiate and compile self-pay estimates.
Attend daily IVF team meetings as needed.
Aid with multiple Epic work queues.
Monitor Epic and email in-baskets for the fertility finance team.
Work with outside agencies for donor eggs, donor sperm and gestational carriers.
Set up non UI Health Care patients for satellite monitoring, send bills monthly.
Make pricing changes to multiple documents yearly.
Maintain CPT spreadsheets.
Assist with peer-to-peer communications.
Assist patients with questions on their statements and EOBs.