Revenue Cycle Representative; Credits - Physician​/Hospital Accounts Receivable Management; PHA

Job Summary

The 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 sub-teams (Commercial Insurance, Medicare, Medicaid, and Hospital/Facility billing and Physician/Professional services billing).

The P/HARM RCR will provide exceptional customer service to external customers (patients, insurance contacts, etc.) as well as internal customers. You will support our “Service Excellence” standards, utilize tools and processes to make independent decisions, and maintain integrity while treating all customers with respect.

P/HARM RCR positions are primarily located in a high-volume web-based application environment. You must have the ability to prioritize, multi-task, and quickly change focus in a fast-paced team environment. RCRs may liaise with an assigned hospital department and must be able to show compassion and empathy when working directly with patients and/or their families.

This position is eligible for remote work; applicants who wish to work remotely will be considered. Training will be held onsite or via Hybrid (In-house/Zoom) from the HSSB building for a duration determined by the supervisor. Remote eligibility will be evaluated after a satisfactory job training opportunity. Remote work remains subject to annual policy review and must comply with the remote work program and related travel policies when working remotely.

University of Iowa Health Care is recognized as one of the best hospitals in the United States and is Iowa’s only comprehensive academic medical center and regional referral center. Our mission is:
Changing Medicine. Changing Lives.®

WE CARE Core Values:

• Welcoming - We have an environment where everyone has a voice and is treated with dignity.
• Excellence - We strive for quality and accessibility in health care, education, and research.
• Collaboration - We collaborate across systems and communities with a compassionate, team-based approach.
• Accountability - We act ethically, with fairness and integrity, and own our actions.
• Respect - We foster an environment where every individual is safe, valued, and respected.
• Empowerment - We provide fair access to research, health care, and education, and opportunities for growth.

• Resolve credits from over-payments and undistributed amounts in an assigned work queue to ensure timely handling of claims per filing/appeal guidelines.
• Determine if correct payment has been made by various entities; work with patients and insurance companies and government entities (e.g., Centers for Medicare and Medicaid Services) to resolve over payment issues; appeal claim payments/denials as needed.
• Perform account management, research, and obtain documentation to support resolution of over payments, resolve credit balances, and address outstanding accounts receivable by interacting with third-party entities via websites, phone, or written inquiries.
• Identify and report undesirable trends and reimbursement modeling errors or underlying causes of incorrect payments; review variances from third-party payers.
• Maintain a high level of accuracy to meet productivity and quality requirements.
• Identify trends or opportunities for 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 payer policies and denial trends; escalate claim payment delays as appropriate.

• Classification
  
  Title:
  
  Revenue Cycle Representative (Credits)
• Pay Grade: 2B
• Percent of Time: 100%
• Location: Hospital Support Services Building (HSSB)

This position is eligible to participate in remote work. Training will be onsite or via Hybrid (In-house/Zoom) from the HSSB building. Remote eligibility will be evaluated after training, with annual policy reviews.

• Onsite: workstation with 3 monitors, laptop, docking station, keyboard, mouse, headset,…