Revenue Cycle Representative (Psychiatric Admissions) - Patient Access Management (PAM) - Patient Financial Services (PFS)

University of Iowa•Iowa City, IA

5d•Hybrid

About The Position

University of Iowa Health Care’s Patient Financial Services department is hiring an entry-level Revenue Cycle Representative for Psychiatric Admissions. This customer service and financial-related role serves external customers—including patients, patient families, and insurance contacts—as well as internal customers. The position requires prioritizing and multitasking in a fast-paced team environment and providing accurate, comprehensive information verbally and in writing regarding third-party interactions, patient billing, and customer service activities. The position is primarily hybrid, combining remote and onsite work. Remote work must be performed from an offsite location within Iowa. Training takes place onsite at the HSSB building or via Zoom, with the location and length determined by the supervisor. Remote eligibility is evaluated after satisfactory completion of training; work arrangements are reviewed annually and must comply with applicable university policies. The position is 100% time and based at Medical Center University, 200 Hawkins Drive, Iowa City, Iowa. The department provides specified computer equipment for onsite and offsite work. Employees working remotely must supply certain additional equipment at their own expense and provide documentation of their home-office setup and internet speed. The position includes an additional 5% of base salary for high-volume, high-intensity patient contact.

Requirements

Bachelor’s degree or an equivalent combination of education and relevant experience.
At least 6 months of related customer service experience in a professional, financial, or healthcare-related 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 quickly learn and apply knowledge of new systems.
Demonstrated 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, with ability to remain professional when handling difficult situations with callers or customers.
Successful history of collaborating in a fast-paced team environment.

Nice To Haves

Experience maintaining professionalism while handling difficult situations with callers or customers.
Demonstrated ability to maintain or improve established productivity and quality requirements.
Familiarity with medical terminology.
Basic knowledge of HIPAA laws.
Basic knowledge of healthcare billing or the healthcare revenue cycle, insurance, and/or federal and state assistance programs.
Experience identifying improvement opportunities and making recommendations or suggestions.
Working experience with multiple technology platforms such as Epic, Cirius, ACD, and/or GE.
Ability to drive results and foster accountability throughout a team and organization.
Maintaining current awareness of industry trends and continually improving technical and professional skills.

Responsibilities

Analyze and verify patient demographic, insurance eligibility, and financial information and responsibility to support accurate claim submission and reimbursement.
Review accounts and initiate pre-certification, pre-authorization, referral forms, and other managed-care requirements; route matters to appropriate departments as needed.
Advise patients and/or family members about healthcare accounts and connect them with available funding sources, including Medicaid, the Healthcare Marketplace, payment plans, and uncompensated care.
Identify and report undesirable trends, reimbursement modeling errors, and causes of incorrect payments; review allowed variances from third-party payers.
Maintain accuracy in order to meet productivity and quality requirements.
Identify trends and work processes that may offer opportunities for improvement.
Review and analyze report data and provide status updates to leadership.
Communicate with providers, payers, patients, internal departments, coworkers, and coordinators to resolve issues.
Work with the court system to provide time-sensitive documents, meet deadlines, and ensure UI Health Care compliance.
Maintain extensive working knowledge of payer regulations and policies, financial classifications, and financial assistance programs.
Build and maintain working relationships with clinical staff, referral sources, insurance companies, medical providers, and the public.