Prior Authorization Revenue Cycle Representative - Patient Financial Services
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Position Qualifications
Education Required
• Bachelor’s degree or equivalent combination of education and relevant experience.
Experience Requirements
• 6 months or more of related customer service experience in a professional, financial or health care related environment.
• Knowledge of healthcare billing (healthcare revenue cycle); insurance, and/or federal and state assistance programs.
• 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 and an 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 and the ability to maintain professionalism while handling difficult situations with callers or customers.
• Successful history collaborating in a fast-paced team environment.
Desirable Qualifications
• Experience handling difficult callers, customers and patients.
• Familiarity with medical terminology.
• Knowledge of Health Insurance Portability and Accountability Act (HIPAA) laws.
• Experience identifying opportunities for improvement and making recommendations and suggestions.
• Experience with multiple technology platforms such as Epic, Cirius ACD, and/or GE.
• Ability to drive results and foster accountability throughout the team and organization.
Universal Competencies
Collaboration and Embracing Diversity: Ability to work with a variety of individuals and groups in a constructive and civil manner while appreciating the unique contribution of individuals from varied cultures, race, creed, color, national origin, age, sex, disability, sexual orientation, and gender identity.
•Demonstrates civil and respectful behaviors valued within the organization.
Education Required
• Bachelor’s degree or equivalent combination of education and relevant experience.
Experience Requirements
• 6 months or more of related customer service experience in a professional, financial or health care related environment.
• Knowledge of healthcare billing (healthcare revenue cycle); insurance, and/or federal and state assistance programs.
• 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 and an 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 and the ability to maintain professionalism while handling difficult situations with callers or customers.
• Successful history collaborating in a fast-paced team environment.
Desirable Qualifications
• Experience handling difficult callers, customers and patients.
• Familiarity with medical terminology.
• Knowledge of Health Insurance Portability and Accountability Act (HIPAA) laws.
• Experience identifying opportunities for improvement and making recommendations and suggestions.
• Experience with multiple technology platforms such as Epic, Cirius ACD, and/or GE.
• Ability to drive results and foster accountability throughout the team and organization.
Universal Competencies
Collaboration and Embracing Diversity: Ability to work with a variety of individuals and groups in a constructive and civil manner while appreciating the unique contribution of individuals from varied cultures, race, creed, color, national origin, age, sex, disability, sexual orientation, and gender identity.
•Demonstrates civil and respectful behaviors valued within the organization.
• Provides and accepts ideas and suggestions in a constructive and helpful manner.
• Exhibits good teamwork: is approachable, cooperative, and contributes to an overall positive and productive work/team environment.
• Works effectively with individuals from all backgrounds.
Positive Impact/Achieving Results: Ability to utilize existing resources and learning to achieve or exceed desired outcomes of current and future organizational goals/needs. Able to demonstrate ethical behavior in diverse situations while producing results.
• Appreciates the difference between effort and achievement and produces results that are important to unit.
• Grasps the inevitability and challenges of change and adapts tactics accordingly; utilizes learning opportunities to prepare for changing work and methods.
• Demonstrates a willingness to carry out responsibilities and a positive approach to accomplishing work.
• Demonstrates an understanding of how work aligns to organizational mission, vision, and University environment.
Service Excellence/Customer Focus: Ability to meet or exceed customer service needs and expectations and provide excellent service in a direct or indirect manner. Ability to effectively transmit and interpret information through appropriate communication with internal and external customers.
• Consistently provides excellent service.
• Manages customer expectations and takes responsibility to enhance service excellence.
• Communicates understandably; uses appropriate words, grammar and mannerisms in all mediums.
• Seeks feedback on communication style and effectiveness.
• Exhibits good teamwork: is approachable, cooperative, and contributes to an overall positive and productive work/team environment.
• Works effectively with individuals from all backgrounds.
Positive Impact/Achieving Results: Ability to utilize existing resources and learning to achieve or exceed desired outcomes of current and future organizational goals/needs. Able to demonstrate ethical behavior in diverse situations while producing results.
• Appreciates the difference between effort and achievement and produces results that are important to unit.
• Grasps the inevitability and challenges of change and adapts tactics accordingly; utilizes learning opportunities to prepare for changing work and methods.
• Demonstrates a willingness to carry out responsibilities and a positive approach to accomplishing work.
• Demonstrates an understanding of how work aligns to organizational mission, vision, and University environment.
Service Excellence/Customer Focus: Ability to meet or exceed customer service needs and expectations and provide excellent service in a direct or indirect manner. Ability to effectively transmit and interpret information through appropriate communication with internal and external customers.
• Consistently provides excellent service.
• Manages customer expectations and takes responsibility to enhance service excellence.
• Communicates understandably; uses appropriate words, grammar and mannerisms in all mediums.
• Seeks feedback on communication style and effectiveness.
Equal opportunity/affirmative action employer
The University of Iowa is an equal opportunity/affirmative action employer. All qualified applicants are encouraged to apply and will receive consideration for employment free from discrimination on the basis of race, creed, color, religion, national origin, age, sex, pregnancy (including childbirth and related conditions), disability, genetic information, status as a U.S. veteran, service in the U.S. military, sexual orientation, gender identity, or associational preferences.
Persons with disabilities who need assistance or accommodations with the application or interview process may contact University Human Resources/Faculty and Staff Disability Services, (319) 335-2660 or fsds@uiowa.edu. For jobs in UI Health care, please contact UI Health care Leave & Disability Administration at 319-356-7543.
