About The Position
University of Iowa Health Care’s Patient Financial Services department is hiring an entry-level Revenue Cycle Representative for Urgent Admissions. The role provides customer service and financial support to patients, their families, insurance contacts, and internal customers. The representative uses established tools and processes, exercises sound independent judgment, and upholds high standards of integrity. The position calls for prioritization, multitasking, and the ability to shift focus in a fast-paced team environment. It also requires providing accurate information verbally and in writing to patients, outside agencies, and administrative and management personnel about third-party interactions, patient billing, and customer-service activities. Compassion and empathy are essential when working with patients and families. The representative analyzes patient demographic, insurance, and financial information; supports managed-care requirements and account resolution; and helps patients connect with funding resources. The role also monitors payment and process trends, communicates with stakeholders to resolve issues, and handles time-sensitive documents with the court system. The position requires extensive working knowledge of payer regulations and policies, financial classifications, and financial assistance programs, as well as strong working relationships with clinical staff, referral sources, insurance companies, medical providers, and the public. This is a 100% on-site position, with potential assignments across two locations. The schedule is Sunday through Thursday, 9:00 a.m. to 6:00 p.m., with on-call duty one to two days per month and three to four holidays per year. The department provides an on-site workstation with three monitors, a laptop and power cord, docking station and power cord, keyboard, mouse, headset, and access to desk supplies.
Requirements
- Bachelor’s degree or an equivalent combination of education and relevant experience.
- At least six 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 Microsoft Office Suite (Excel, Word, Outlook, and PowerPoint) or comparable programs, and ability to quickly learn and apply new systems knowledge.
- 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; ability to remain professional when handling difficult situations with callers or customers.
- Successful history of collaborating in a fast-paced team environment.
- Ability to prioritize, multitask, and quickly change focus in a fast-paced setting.
- Ability to show compassion and empathy when working with patients and families.
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.
- Working experience with multiple technology platforms such as Epic, Cirius, ACD, and/or GE.
- Ability to drive results and foster accountability throughout the team and organization.
- Awareness of industry trends and commitment to 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 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 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.
- Provide accurate and comprehensive verbal and written information about third-party interactions, patient billing, and customer-service activities.
- Work the stated on-call schedule and three to four holidays per year.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
