Revenue Cycle Representative (PB Reimbursement Verification) - Physician/Hospital Accounts Receivable Management (PHARM) - Patient Financial Services

The University of Iowa Hospitals & Clinics department of Patient Financial Services is seeking a Revenue Cycle Representative for the Physician Hospital Accounts Receivable Management (PHARM) division for the Reimbursement Verification team. This financial and insurance related position provides a retrospective analysis of all claims/billing activities as it relates to PFS (Patient Financial Services) functions; including but not limited to registration, coding, billing, payment posting, credits, self-pay billing, denials and in-depth contractual compliance analysis.

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 primarily a combination of remote and onsite (hybrid) work locations. Remote work must be performed at an offsite location within the State of Iowa.  Training will be held either on ONSITE at the HSSB building or via zoom, with location and length of training 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.

Position Responsibilities: 

• Will provide exceptional customer service to our external customers: patients, insurance contacts, internal customers, etc.
• 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.
• Ability to prioritize, multi-task & quickly change focus in a fast-paced and high-volume team in a web-based application environment.
• Act as a liaison between UI Health Care and assigned payors via telephone/websites in regard to insurance claims follow-up and revenue collection from an escalated perspective.
• Perform extensive research on reimbursement methodologies, maintain industry knowledge related to changes regarding reimbursement, and apply knowledge to claims processing.
• Direct impact on cash collections due to continuous reimbursement analysis and findings of over- and underpayments, based upon our contracted commercial and governmental payors.  Work closely with the Reimbursement Verification Coordinator to identify payment trends; escalate and address claims processing errors at the payor level.
• Identify trends and/or work processes for potential process improvements.
• Participate in the training of new Reimbursement Verification staff, create training/reference materials specific to payors, and test changes in Epic and other systems.
• Attend appropriate conferences and training sessions provided by various payors, vendors, and fiscal intermediaries as it relates to reimbursement.

Classification Title: Revenue Cycle Representative

Department: Patient Financial Services – PB Reimbursement Verification

Staff Type: Professional & Scientific\

Type of Position: Regular

Pay Grade: 2B

Percent of Time: 100%

Location: Hospital Support Services Building (HSSB)

This position is primarily a combination of remote and onsite (hybrid) work locations.  Remote work must be performed at an offsite location within the State of Iowa.  Training will be held either on ONSITE at the HSSB building or via zoom, with location and length of training 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, a keyboard, a mouse, and provide a screen shot of the domicile internet speed (minimum 30mb download and 10mb upload) and a picture of the office setup.

Remote - when working offsite, the department will provide the employee a laptop/powercord, docking station/power cord, headset. Prior to working offsite, the employee, at their own expense, will need to supply 2 (two) monitors, a keyboard, a mouse, and provide a screen shot of the domicile internet speed (minimum 30mb download and 10mb upload) and a picture of the office setup.