Revenue Cycle Representative (Emergency Department) - Patient Access Management (PAM) - Patient Financial Services

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) 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 multiple workstations and adhere to scheduled hours in this fast-paced 24/7, team environment – this would include transitioning to multiple workstations during the ED shift including ED check in, ED check out, registration completion on WOW (workstations on wheels) and clinical POD areas. 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. 

Position Responsibilities:

• Respond to patient/visitors/family requests and directs 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,

Classification Title: Revenue Cycle Representative

Specified Area: 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 $2100 for applicable weekend differential while in this role

Schedule:  Potential working hours for this position 0700-2130 (7:00 AM – 9:30 PM) with a schedule indicated:

• 12-14 hours Sunday, Friday, Saturday
• Potential 4 hours flexing one day each week
• The position includes an on-call schedule 1-2 days per month and be required to work 3-4 holidays per year