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Revenue Cycle Representative (Patient Billing Services) - Self-Pay, Analytics, Revenue Cycle Counseling (Sparc) - Patient Financial Services
Company | University of Iowa |
Address | Iowa City, IA, United States |
Employment type | FULL_TIME |
Salary | |
Category | Higher Education |
Expires | 2023-08-05 |
Posted at | 10 months ago |
The University of Iowa Hospitals and Clinics department of Patient Financial Services is seeking a Revenue Cycle Representative (RCR) for an entry-level customer service and financial related position in the healthcare industry. The RCR in the Self-Pay, Analytics, Revenue Cycle Counseling (SPARC) division will provide a consistent, efficient, and high-level quality customer service for patients via phone and face-to-face.
- Be expected to maintain a high-level of accuracy to meet productivity and quality requirements.
- Document, correct and assure the accurate information is in the patient billing system.
- Build and maintain solid working relationships with clinical staff, referral sources, insurance companies, medical providers and public.
- Maintain extensive knowledge and expertise based around payer regulations/policies, financial classifications, and financial assistance programs.
- Resolve patient billing account concerns in order to obtain appropriate reimbursement and patient satisfaction in partnership with PFS management, UIHC Patient Representatives and UIHC Clinical Teams.
- Verify eligibility of benefits, patient liability and non-covered exceptions; confirm all steps necessary have been taken to adjudicate claims and billing while providing outstanding customer service.
- Analyze and verify patient demographic, insurance eligibility and financial information/responsibility for accurate claim submission and reimbursement.
- Initiate action regarding the management and adjudication of patient account billing and all other customer concerns and inquiries.
- Resolves statement edits to ensure correct and timely billing occurs.
- Communicate with providers, payers, patients, internal departments, co-workers, and Coordinator’s to resolve issues.
- Contacts appropriate third-party payers in order to verify eligibility of benefits, patient liability, non-covered exceptions.
- Provide financial counseling to patients and families to ensure they are advised of their financial obligations, with appropriate financial arrangements made according to the hospital’s financial policy.
- Take payments, establish payment arrangements, counsel, and coordinate available financial assistance with patient as necessary.
- Bachelor’s degree or equivalent combination of education and relevant experience.
- Successful history collaborating in a fast-paced team environment.
- Demonstrated ability to handle complex and ambiguous situations with minimal supervision.
- 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.
- Effective communication skills (written and verbal), active listening skills and the ability to maintain professionalism while handling difficult situations with callers or customers.
- Proficiency with computer software applications, i.e. Microsoft Office Suite (Excel, Word, Outlook, PowerPoint) or comparable programs and an ability to quickly learn and apply new systems knowledge.
- Self-motivated with initiative to seek out additional responsibilities, tasks, and projects.
- Bi-lingual skills in a foreign language (Spanish and/or French highly preferred).
- Familiarity with medical terminology.
- Experience identifying opportunities for improvement and making recommendations and suggestions.
- Knowledge of healthcare billing (healthcare revenue cycle); insurance, and/or federal and state assistance programs.
- Ability to drive results and foster accountability throughout the team and organization.
- Experience with multiple technology platforms such as Epic, Cirius ACD, and/or GE.
- Knowledge of Health Insurance Portability and Accountability Act (HIPAA) laws.
- Maintain current awareness of industry trends and continually strive for improvement with both technical and professional skills.
- Demonstrated ability to maintain or improve established productivity and quality requirements.
- (optional) Cover Letter
- Resume
- Appointment Type: Professional and Scientific
- Work Modality Options: Hybrid within Iowa
- Classification Title: Revenue Cycle Representative
- Schedule: Full-time
- Pay Level: 2b
- Starting Salary Minimum: $40,000
- Starting Salary Maximum: $55,000
- Organization: Healthcare
- Contact Name: Zachary Schmidt
- Contact Email: [email protected]
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