Revenue Cycle Representative (Emergency Department) - Medical Center Downtown (MCD) - Patient Access Management (PAM) - PFS

The University of Iowa Hospitals and Clinics department of Patient Financial Services is seeking a Revenue Cycle Representative (RCR) that will work in the Emergency Department (ED) at the Medical Center Downtown (MCD) as an entry-level financial position in the healthcare industry. RCRs assigned to the ED have a unique perspective working directly with patients and their families when they visit the Emergency Department. ED RCRs must have an exceptional attention to detail and demonstrated ability to prioritize, multi-task & quickly change focus. ED RCRS will have the opportunity to work at check-in/check-out workstations and complete registration on a WOW (workstation on wheels) while adhering to scheduled hours in this fast-paced 24/7, team environment.  Due to the nature of the Emergency Department, in order to best serve our patients, this position will require frequent movement, including walking and standing 66% of the time.

ED RCRs will be expected to provide exceptional customer service to our external customers: patients, patient families, insurance contacts, etc.; as well as internal customers (Nurses, Technicians, Physicians, and other UIHC staff). You 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, including respecting patient rights in regard to privacy, dignity, and confidentiality.

WE CARE Core Values:

• Welcoming - We strive for an environment where everyone has a voice that is heard, that promotes the dignity of our patients, trainees, and employees, and allows all to thrive in their health, work, research, and education.
• Excellence - We aim to achieve and deliver our personal and collective best in the pursuit of quality and accessible healthcare, education, and research.
• Collaboration - We encourage collaboration with healthcare systems, providers, and communities across Iowa and the region, as well as within our UI community. We believe teamwork - guided by compassion - is the best way to work.
• Accountability - We behave ethically, act with fairness and integrity, take responsibility for our own actions, and respond when errors in behavior or judgment occur.
• Respect - We are committed to ensuring that UI Health Care is an inclusive environment where individuals from the full spectrum of diversity – which includes identity, backgrounds, cultures, ability and perspective –feel safe, seen, and valued.
• Equity - We dedicate ourselves to equity and fairness in research, health care, education and health.

Position Responsibilities:

• Respond to patient/visitors/family requests and direct to the appropriate areas in a timely manner.
• Verify insurance benefits to determine if insurance will reimburse UIHC for services provided and ensure that insurance data entered is accurate and complete.
• Determine insurance company and financial status classification; enter information accurately and completely into the Billing system and be expected to maintain a high-level of accuracy to meet productivity and quality requirements.
• Confirm co-pay amount and collect from patient as appropriate for the visit and practice safe cash handling procedures to ensure batches reconcile at end of shift.
• Determine priority of work and work collaboratively with clinical staff in processing of paperwork, lab requests, patient requests, etc.
• Prioritize patient visits based on based on admission status and total stay time, according to protocols)
• Complete Medicare Secondary payer questionnaire to correctly identify primary payer for accurate claim submission and compliance regulations.  Identify and determine referral and prior authorization requirements.
• Contact appropriate internal resources to coordinate financial assistance activity, as needed. Assist other clinical departments with inquiries regarding various aspects of patients’ accounts.
• Answer multiple incoming telephone lines and direct to appropriate parties.
• Independently determine appropriate forms and patient signatures that are required and facilitate the securing of patient signatures on forms such as:  HIPAA Consent.
• Other duties as assigned.

Classification Title: Revenue Cycle Representative

Specified Area: Main Campus Downtown Emergency Department

Department: Patient Financial Services

Percent of Time: 100% (ONSITE)

Pay Grade: 2B

An additional 5% added to base salary for high volume and $5,400 for applicable evening and/or weekend differential while in this role.

Schedule:

• 12 Sunday, Friday, Saturday 1500-0330
• 4 hour flexing Monday during listed hours above 
• This position includes an on-call schedule 1-2 days per month and be required to work 3-4 holidays per year