Revenue Cycle Representative (Occupational Health) - Physician/Hospital Accounts Receivable Management (PHARM) - Patient Financial Services

The University of Iowa Hospitals and Clinics department of Patient Financial Services is seeking a Revenue Cycle Representative (RCR) for an entry-level financial and insurance related Occupational Health position in the healthcare industry.   Physician/Hospital Accounts Receivable Management (P/HARM) team members are divided among our sub-teams (i.e.  Commercial Insurance, Medicare, Medicaid, and Hospital/Facility billing and Physician/Professional services billing).

The P/HARM RCR will provide exceptional customer service to our external customers: patients, insurance contacts, etc; as well as internal customers.  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. 

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

This position is eligible to participate in remote work and applicants who wish to work remotely will be considered.  Training will be held either ONSITE or via Hybrid (Inhouse/Zoom) from the HSSB building at a length determined by the supervisor.  Remote eligibility will be evaluated upon a satisfactory job training opportunity.  Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location.

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:

• Resolve claims from an assigned work-queue to ensure that all claims are worked within the timely filling/appeal guidelines
• Determine if appropriate payment has been made by various entities; and/or work with patients and insurance companies, government entities (such as Centers for Medicare and Medicaid Services) to obtain correct payments; and/or appeal claim payments/denials.
• Perform denial management, research, obtain proper documentation to support resolution of overpayment; resolving credit balances and to resolve outstanding accounts receivable by interacting with third-party entities via websites, telephone, or written inquiries.
• 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.
• Communicate changes in payor policies and denial trends; escalates claim payment delays as appropriate. 

Classification Title: Revenue Cycle Representative (Occupational Health)

Department: Patient Financial Services

Pay Grade: 2B

Percent of Time: 100%

Location: Hospital Support Services Building (HSSB)

This position is eligible to participate in remote work and applicants who wish to work remotely will be considered.  Training will be held either ONSITE or via Hybrid (Inhouse/Zoom) from the HSSB building at a length determined by the supervisor.  Remote eligibility will be evaluated upon a satisfactory job training opportunity.  Per policy, work arrangements will be reviewed annually and must comply with the remote work program and related policies and employee travel policy when working at a remote location.

Equipment

Onsite – The department will provide a workstation which contains 3 (three) monitors, laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies can be found in the supply closet.

Hybrid – while working onsite, the department will provide a workstation which contains 3 (three) monitors, a laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies. When working offsite, the employee will take their laptop/power cord to carry back and forth, a second docking station/power cord to keep offsite. Prior to working offsite, the employee, at their own expense, will need to supply 2 (two) monitors, in addition to the university-issued laptop, which will serve as a third monitor due to its built-in camera function, a keyboard, and a mouse. Employees will be required to provide a photo of the domicile office setup and perform an internet speed test by visiting https://www.speedtest.net/ with a minimum 30mb download and 10mb upload reflecting a University of Iowa IP address, then providing a screenshot of the speed test to HR.  The employee’s remote workstation should replicate the onsite setup as if they were working onsite at HSSB.

Remote - when working offsite, the department will provide the employee a laptop/power cord, docking station/power cord, headset. Prior to working offsite and at their own expense, the employee will be required to obtain or possess 2 (two) monitors, in addition to the university-issued laptop, which will serve as a third monitor due to its built-in camera function, a keyboard, and a mouse. Employees will be required to provide a photo of the domicile office setup and perform an internet speed test by visiting https://www.speedtest.net/ with a minimum 30mb download and 10mb upload reflecting a University of Iowa IP address, then providing a screenshot of the speed test to HR.  The employee’s remote workstation should replicate the onsite setup as if they were working onsite at HSSB.