Revenue Cycle Representative - Financial Counselor - Patient Financial Services

22003245 Requisition #

The University of Iowa Hospitals and Clinics department of Patient Financial Services is seeking a Revenue Cycle Representative (RCR)-Financial Counselor for an entry-level financial services position in the healthcare industry and within the department of Patient Financial Services. Team members are divided among our sub-teams (i.e.  Pre-Authorization; Patient Billing Services; Financial Counseling; Physician and Hospital A/R Management {PHARM}; etc.). This opening is within our Financial Counseling Team.

The Financial Counselor will be expected to provide exceptional customer service to our external customers: patients, patient families, insurance contacts, etc; as well as internal customers. You will support our “Service Excellence” standards to all our customer groups by demonstrating compassion, empathy, and respecting patient rights.  You will utilize tools and processes to make independent decisions and maintain a high level of integrity in regards to patient rights.

The Financial Counselor must have a demonstrated ability to prioritize, multi-task & quickly change focus in fast-paced team environment. You will be expected to provide accurate and comprehensive information (verbally and in writing) to patients, outside agencies and various administrative and management personnel regarding all third-party interactions, patient billing and customer service activities. 

This position is eligible to participate in a hybrid-remote work arrangement. Remote work must be performed at a location within the state of Iowa. Successful candidates who participate in remote work must meet the required quality and productivity standards as well as be in good standing

Position Responsibilities

  • Coordinate with clinical department leaders, medical staff, and hospital coders to develop treatment plans of care for financially unsecure patients.
  • Provide assistance in educating department leaders, medical staff and other UIHC employees on internal policies, changes, and processes such as UIHC’s Patient Access Policy and Pre-Service Charge Adjustment Review Team (CART).
  • Prepare and submit Pre-Service CART forms as well as facilitate Pre-Service CART process.
  • Collaborate with Payor Relations on new agreements for underinsured patients.
  • Verify benefits and provide financial counseling to patients and families to ensure they are advised of their financial obligations, with appropriate financial arrangements made according to the hospitals financial policy.
  • Use knowledge of Current Procedure Terminology (CPT) to generate self-pay and insured estimates for one-time services and treatment plans via the Epic Estimator. Use attention to detail when verifying benefit information from insurance websites as well as Real Time Eligibility (RTE) queries.
  • Provide financial counseling via phone and/or in-person based on the patient’s liability and ability to pay.
  • Advise patients and/or family members about their healthcare accounts, collect appropriate self-pay balances, establish payment arrangements, screen, and link patients to the available funding sources such as: Medicaid, COBRA Subsidy program, Immergruen, Healthcare Marketplace, Payment Plans, and external Financing Options
  • Screen patients, educate and facilitate application process for UIHC’s internal financial assistance program prior to receiving care.
  • Identify and assist patients who are unable to pay their estimated liability or who have existing balances.
  • Identify & report undesirable trends and reimbursement modeling errors or underlying causes of incorrect payment; review allowed variances from third party payers.
  • Be expected to maintain a high-level of accuracy to meet productivity and quality requirements.
  • Identify trends and/or work processes for potential process improvements.
  • Review and analyze report data to provide status updates to leadership. 
  • Communicate with providers, payers, patients, internal departments, co-workers, and Coordinator’s to resolve issues and take appropriate actions. +

University of Iowa Hospitals & Clinics—recognized as one of the best hospitals in the United States—is Iowa's only comprehensive academic medical center and a regional referral center. Each day more than 12,000 employees, students, and volunteers work together to provide safe, quality health care and excellent service for our patients. Simply stated, our mission is: Changing Medicine. Changing Lives.®

Classification Title: Financial Counselor Revenue Cycle Representative

Department:  Patient Financial Services

Pay Grade: 2B 

Percent of Time: 100%

Location: UIHC - Iowa City, IA (This position is eligible to participate in a hybrid-remote work arrangement, with a combination of in-office days as well as opportunities for remote work days.)

Salary: $37,700 to $55,000.00

Staff Type: Professional & Scientific

Type of Position: Regular

The University of Iowa offers a generous benefits package, including 24 days paid vacation per year to start and paid sick leave. Complete information regarding the full benefits package may be viewed at:

Education Required

  • Bachelor’s degree; or equivalent combination of education and experience. 

Experience Requirements

  • Minimum 6 months revenue cycle, health insurance or related customer/patient focused service experience.
  • 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 remain professional while managing difficult situations with callers, customers or patients and able to handle complex and ambiguous situations with minimal supervision.
  • Self-motivated with initiative to seek out additional responsibilities, tasks, and projects.
  • Basic knowledge of medical terminology and working knowledge of HIPAA laws and regulations.

Desirable Qualifications

  • Demonstrated ability to maintain or improve established productivity and quality requirements.
  • Working knowledge of healthcare billing and/or Federal and state assistance programs.
  • Bi-lingual skills in a foreign language highly desired (Spanish and/or French highly preferred).

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

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, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, religion, associational preference, status as a qualified individual with a disability, or status as a protected veteran.

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  For jobs in UI Health care, please contact UI Health care Leave & Disability Administration at 319-356-7543.

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