Revenue Cycle Representative (Pb Reimbursement Verification) - Physician Hospital Accounts Receivable (Pharm) Patient Financial Services

Job Summary

The University of Iowa Hospitals & Clinics department of Patient Financial Services is seeking a Revenue Cycle Representative for the Physician Hospital Accounts Receivable Management (PHARM) division for the Reimbursement Verification team. This financial and insurance related position provides a retrospective analysis of all claims/billing activities as it relates to PFS (Patient Financial Services) functions; including but not limited to registration, coding, billing, payment posting, credits, self-pay billing, denials and in-depth contractual compliance analysis.

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 ZOOM from the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Successful candidates must comply with requirements of the remote work program and related policies.

Position Responsibilities

• Identify trends and/or work processes for potential process improvements.
• Ability to prioritize, multi-task & quickly change focus in a fast-paced and high-volume team in a web-based application environment.
• Act as a liaison between UI Health Care and assigned payors via telephone/websites in regard to insurance claims follow-up and revenue collection from an escalated perspective.
• Perform extensive research on reimbursement methodologies, maintain industry knowledge related to changes regarding reimbursement, and apply knowledge to claims processing.
• Attend appropriate conferences and training sessions provided by various payors, vendors, and fiscal intermediaries as it relates to reimbursement.
• Will provide exceptional customer service to our external customers: patients, insurance contacts, internal customers, etc.
• Participate in the training of new Reimbursement Verification staff, create training/reference materials specific to payors, and test changes in Epic and other systems.
• 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.
• Direct impact on cash collections due to continuous reimbursement analysis and findings of over- and underpayments, based upon our contracted commercial and governmental payors. Work closely with the Reimbursement Verification Coordinator to identify payment trends; escalate and address claims processing errors at the payor level.

Classification Title: Revenue Cycle Representative

Department: PFS – PHARM – PB Reimbursement Verification

Percent of Time: 100%

Pay Grade: 2B

Salary: $40,000 - $55,000

Location: Hospital Support Services Building (HSSB) located in Coralville, IA

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 ZOOM from the HSSB building at a length determined by the supervisor. This position is eligible for a combination of on-campus and remote work. Work arrangement options will be discussed during the hiring process. Successful candidates must comply with requirements of the remote work program and related policies.

Position Qualifications

Education Required

Bachelor’s degree or equivalent education and experience in a financial, medical billing, coding and/or revenue cycle environment(s).

Experience Requirements

• Strong attention to detail with a proven ability to gather and analyze data, identify trends through data analysis and keep accurate records.
• Self-motivated with initiative to seek out additional responsibilities, tasks and projects and demonstrated ability to maintain or improve established productivity and quality requirements.
• 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.
• Experience maintaining professionalism while handling difficult situations with callers or customers.
• Revenue Cycle experience (typically 6 months or more) in a healthcare environment.
• Demonstrated ability to handle complex and ambiguous situations with minimal supervision.

Desirable Qualifications

• Experience with Epic systems.
• Advanced knowledge of healthcare billing (healthcare revenue cycle); insurance, and/or federal and state assistance programs.
• Working knowledge of Health Insurance Portability and Accountability Act (HIPAA) laws.
• Working knowledge of medical terminology.
• Experience with Experian Contract Management software.

Application Process: In order to be considered for an interview, applicants must upload the following documents and mark them as a “Relevant File” for the submission:

• Resume
• (optional) Cover Letter

Job openings are posted for a minimum of 14 calendar days and may be removed from posting and filled any time after the original posting period has ended. Applications will be accepted until 11:59 PM on the date of closing.

Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process.

For additional questions, please contact Zach Schmidt at [email protected].

Additional Information

• Schedule: Full-time
• Classification Title: Revenue Cycle Representative
• Appointment Type: Professional and Scientific
• Work Modality Options: Hybrid within Iowa

Compensation

• Pay Level: 2B

Contact Information

• Contact Name: Zach Schmidt
• Organization: Healthcare
• Contact Email: [email protected]