Revenue Cycle Representative Financial Counseling - Self-Pay Analytics Revenue Cycle Counseling SPARC - PFS

Iowa Health Care department of Patient Financial Services is seeking a Revenue Cycle Representative (RCR)Financial Counselor for an entrylevel financial services position in the healthcare industry and within the department of Patient Financial members are divided among our subteams (i.e. PreAuthorization; Patient Billing Services; Financial Counseling; Physician and Hospital A/R Management PHARM; etc).This opening is within our Financial Counseling Team.

The Financial Counselor will be expected to provide exceptional customer service to our external customers: patients patient families insurance contacts etc; as well as internal customers. You will support our Service Excellence standards to all our customer groups by demonstrating compassion empathy and respecting patient rights. You will utilize tools and processes to make independent decisions and maintain a high level of integrity regarding patient rights. The Financial Counselor must have a demonstrated ability to prioritize multitask & quickly change focus in fastpaced team environment. You will be expected to provide accurate and comprehensive information (verbally and in writing) to patients outside agencies and various administrative and management personnel regarding all thirdparty interactions patient billing and customer service activities.

This position is primarily a combination of remote and onsite (hybrid) work locations. Remote work must be performed at an offsite location within the State of Iowa. Training will be held either on ONSITE at the HSSB building or via zoom with location and length of training determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. 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.

Iowa Health Carerecognized as one of the best hospitals in the United Statesis Iowas only comprehensive academic medical center and a regional referral center. Each day more than 12000 employees students and volunteers work together to provide safe quality health care and excellent service for our patients. Simply stated our mission is: Changing Medicine. Changing Lives.

Position Responsibilities:

• Coordinate with clinical department leaders medical staff and hospital coders to develop treatment plans of care for financially unsecure patients.
• Provide assistance in educating department leaders medical staff and other UI Health Care employees on internal policies changes and processes such as UI Health Cares Patient Access Policy and PreService Charge Adjustment Review Team (CART).
• Prepare and submit PreService CART forms as well as facilitate PreService CART process.
• Collaborate with Payor Relations on new agreements for underinsured patients.
• 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 hospitals financial policy.
• Use knowledge of Current Procedure Terminology (CPT) to generate selfpay and insured estimates for onetime services and treatment plans via the Epic Estimator. Use attention to detail when verifying benefit information from insurance websites as well as Real Time Eligibility (RTE) queries.
• Provide financial counseling via phone and/or inperson based on the patients liability and ability to pay.
• Advise patients and/or family members about their healthcare accounts collect appropriate selfpay balances establish payment arrangements screen and link patients to the available funding sources such as: Medicaid COBRA Subsidy program Immergruen Healthcare Marketplace Payment Plans and external Financing Options.
• Screen patients educate and facilitate application process for UI Health Cares internal financial assistance program prior to receiving care.
• Identify and assist patients who are unable to pay their estimated liability or who have existing balances.
• Identify & report undesirable trends and reimbursement modeling errors or underlying causes of incorrect payment; review allowed variances from third party payers.
• Be expected to maintain a highlevel of accuracy to meet productivity and quality requirements.
• Identify trends and/or work processes for potential process improvements.
• Review and analyze report data to provide status updates to leadership.
• Communicate with providers payers patients internal departments coworkers and Coordinators to resolve issues and take appropriate actions.

Classification Title: Revenue Cycle Representative (Financial Counseling)

Department: Patient Financial Services (SPARC)

Pay Grade: 2B

Additionally a5 highintensity highvolume patient contact stipend for the work performed on a daily basis on the Financial Counseling Team. If you leave this unit for a Revenue Cycle Representative position in another unit or move to a different job class the 5 amount you received for the highintensity highvolume patient contact stipend will be deducted from your base salary.

Percent of Time: 100

Schedule: Monday Friday 8:00am 5:00pm

Location: Hospital Support Services Building (HSSB)

This position is primarily a combination of remote and onsite (hybrid) work locations. Remote work must be performed at an offsite location within the State of Iowa. Training will be held either on ONSITE at the HSSB building or via zoom with location and length of training determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. 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.

Equipment:

• Onsite The department will provide a workstation which contains 3 (three) monitors laptop/power cord docking station/power cord keyboard mouse headset and desk supplies can be found in the supply closet.
• Hybrid while working onsite the department will provide a workstation which contains 3 (three) monitors a laptop/power cord docking station/power cord keyboard mouse headset and desk supplies. When working offsite the employee will take their laptop/power cord to carry back and forth a second docking station/power cord to keep offsite. Prior to working offsite the employee at their own expense will need to supply 2 (two) monitors a keyboard a mouse and provide a screen shot of the domicile internet speed (minimum 30mb download and 10mb upload) and a picture of the office setup.
• Remote when working offsite the department will provide the employee a laptop/powercord docking station/power cord headset. Prior to working offsite the employee at their own expense will need to supply 2 (two) monitors a keyboard a mouse and provide a screen shot of the domicile internet speed (minimum 30mb download and 10mb upload) and a picture of the office setup.