Revenue Cycle Representative (Urgent Admissions)

About the Role

University of Iowa Health Care's Patient Financial Services department is seeking a Revenue Cycle Representative (RCR) with Urgent Admissions. This is an entry-level customer service and financial-related position focused on providing exceptional service to external customers (patients, patient families, insurance contacts) and internal customers.

Key Responsibilities

• Analyze and verify patient demographic, insurance eligibility, and financial information/responsibility for accurate claim submission and reimbursement.
• Review accounts and initiate pre-certification, pre-authorization, referral forms, and other managed care requirements, routing to appropriate departments as needed.
• Advise patients and/or family members about healthcare accounts and link them to available funding sources such as Medicaid, Healthcare Marketplace, Payment Plans, and Uncompensated Care.
• Identify and report undesirable trends, reimbursement modeling errors, or underlying causes of incorrect payment; review allowed variances from third-party payers.
• 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.
• Work with the court system to provide time-sensitive documents, ensure deadline dates are met, and maintain UI Health Care compliance.
• Maintain extensive working knowledge and expertise around payer regulations/policies, financial classifications, and financial assistance programs.
• Build and maintain solid working relationships with clinical staff, referral sources, insurance companies, medical providers, and the public.

Requirements & Tech Stack

• Bachelor’s degree or equivalent combination of education and relevant experience.
• 6 months or more of related customer service experience in a professional, financial, or health care-related environment.
• Strong attention to detail and proven ability to gather and analyze data and keep accurate records.
• Proficiency with computer software applications, i.e., Microsoft Office Suite (Excel, Word, Outlook, PowerPoint) or comparable programs.
• Ability to quickly learn and apply new systems knowledge.
• Demonstrated ability to handle complex and ambiguous situations with minimal supervision.
• Self-motivated with initiative to seek out additional responsibilities, tasks, and projects.
• Effective communication skills (written and verbal), active listening skills.
• Ability to maintain professionalism while handling difficult situations with callers or customers.
• Successful history collaborating in a fast-paced team environment.
• Ability to prioritize, multi-task, and quickly change focus.
• Ability to exhibit compassion and empathy when working directly with patients and/or their families.
• Provide accurate and comprehensive information (verbally and in writing).

Desirable Qualifications

• Familiarity with medical terminology.
• Basic knowledge of HIPAA laws.
• Basic knowledge of healthcare billing (healthcare revenue cycle); insurance, and/or federal and state assistance programs.
• Experience identifying opportunities for improvement and making recommendations and suggestions.
• Working experience with multiple technology platforms such as Epic, Cirius, ACD, and/or GE.
• Ability to drive results and foster accountability.
• Maintain current awareness of industry trends and continually strive for improvement.

Schedule

• Days: Sunday - Thursday
• Hours: 9am – 6pm
• Includes an on-call schedule 1-2 days per month.
• Required to work 3-4 holidays per year.
• Position requires full on-site presence, with potential work assignments across two different locations.