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

UIOWA•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 focused on Psychiatric Patient Access and Psychiatric Admissions. This customer service and financial-related position serves external customers—including patients, family members, and insurance contacts—as well as internal customers. The role requires prioritizing tasks, multitasking, and shifting focus quickly in a fast-paced team environment. The representative provides accurate and comprehensive verbal and written information about third-party interactions, patient billing, and customer service activities to patients, outside agencies, and administrative and management personnel. The position is primarily hybrid, combining onsite and remote work. Remote work must be performed from an offsite location within Iowa. Training will take place onsite at the HSSB building or via Zoom; the supervisor determines its location and duration. Eligibility for remote work is evaluated after satisfactory job training. Work arrangements are reviewed annually and must comply with applicable remote-work and employee-travel policies. The position is based at Medical Center University, 200 Hawkins Drive, Iowa City, Iowa. The department provides workstation equipment for onsite work. For remote work, the department provides a laptop and related equipment as specified in the posting; employees must supply two monitors, a keyboard, and a mouse at their own expense. Remote employees must provide a photo of their home-office setup and a screenshot of an internet speed test showing at least 30 Mbps download and 10 Mbps upload with a University of Iowa IP address. The remote workstation should replicate the onsite setup. The position is full-time (100% appointment) and receives an additional 5% of base salary for high-intensity, high-volume 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 learn and apply new systems knowledge quickly.
Demonstrated ability to handle complex and ambiguous situations with minimal supervision.
Self-motivation and initiative to seek out additional responsibilities, tasks, and projects.
Effective written and verbal communication and active listening skills, with the ability to remain professional when handling difficult situations with callers or customers.
Successful history of collaborating in a fast-paced team environment.
For remote work, ability to work from an offsite location within Iowa and meet the stated home-office equipment and internet-speed requirements.

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 and the healthcare revenue cycle, insurance, and/or federal and state assistance programs.
Experience identifying improvement opportunities and making recommendations or suggestions.
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.
Maintains awareness of industry trends and continually strives to improve 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 family members about healthcare accounts and connect patients 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 payment; review allowed variances from third-party payers.
Maintain accuracy while meeting productivity and quality requirements.
Identify trends and work processes with potential 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.