Revenue Cycle Representative - Physician/Hospital Accounts Receivable Management (PHARM) - Patient Financial Services

Job Summary

University of Iowa Health Care department of Patient Financial Services is seeking a Revenue Cycle Representative (RCR) for an entry-level financial and insurance related position in the healthcare industry. Physician/Hospital Accounts Receivable Management (P/HARM) team members are divided among our sub-teams (i.e. Commercial Insurance Medicare Medicaid and Hospital/Facility billing and Physician/Professional services billing).

The P/HARM RCR will provide exceptional customer service to our external customers: patients insurance contacts etc; as well as internal customers. You will support our Service Excellence standards to all our customer groups utilize tools and processes to make independent decisions and you will maintain integrity and treat internal and external customers respectfully.

P/HARM RCR positions are primarily located in a high-volume web-based application environment and you must have a demonstrated ability to prioritize multi-task & quickly change focus in fast-paced team environment. P/HARM RCR positions can be a liaison to an assigned hospital department and must have the ability to exhibit compassion and empathy when working directly with patients and/or their families.

This position is eligible to participate in remote work and applicants who wish to work remotely will be considered. Training will be held either ONSITE or via Hybrid (Inhouse/Zoom) from the HSSB building at a length 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.

University of 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.

WE CARE Core Values:

Welcoming- We strive for an environment where everyone has a voice that is heard that promotes the dignity of our patients trainees and employees and allows all to thrive in their health work research and education.

• Excellence - We aim to achieve and deliver our personal and collective best in the pursuit of quality and accessible healthcare education and research.
• Collaboration- We encourage collaboration with healthcare systems providers and communities across Iowa and the region as well as within our UI community. We believe teamwork - guided by compassion - is the best way to work.
• Accountability- We behave ethically act with fairness and integrity take responsibility for our own actions and respond when errors in behavior or judgment occur.
• Respect-We create anenvironment where every individual feels safe valued and respected supporting the well-being and success of all members of our community.
• Empowerment- We commit to fair access to research health care and education for our community and opportunities for personal and professional growth for our staff and learners.

Position Responsibilities:

• Resolve claims from an assigned work-queue to ensure that all claims are worked within the timely filling/appeal guidelines.
• Determine if appropriate payment has been made by various entities; and/or work with patients and insurance companies government entities (such as Centers for Medicare and Medicaid Services) to obtain correct payments; and/or appeal claim payments/denials.
• Perform denial management research obtain proper documentation to support resolution of overpayment; resolving credit balances and to resolve outstanding accounts receivable by interacting with third-party entities via websites telephone or written inquiries.
• 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 high-level 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 co-workers and Coordinators to resolve issues.
• Communicate changes in payor policies and denial trends; escalates claim payment delays as appropriate.

Classification Title: Revenue Cycle Representative (HB BC / PB RV)

Department: Patient Financial Service

Pay Grade: 2B

Percent of Time: 100%

Location: Hospital Support Services Building (HSSB)

This position is eligible to participate in remote work and applicants who wish to work remotely will be considered. Training will be held either ONSITE or via Hybrid (Inhouse/Zoom) from the HSSB building at a length 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/power cord 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.