Revenue Cycle Representative (Provider Enrollment) - Training, Operations, and Administrative Support Team (TOAST) - Patient Financial Services (PFS)

University of Iowa Health Care’s department of Patient Financial Services is seeking a Revenue Cycle Representative (RCR) for an entry-level customer service and financial related position in the health care industry.  The Training, Operations, and Administrative Support Team (TOAST) Division RCR’s will provide exceptional customer service to our external customers: patients, insurance contacts, etc; as well as internal customers. You will support UI Health Care’s “Service Excellence” standards to all our customer groups, utilize tools and processes to make independent decisions and will maintain integrity and treat internal and external customers respectfully.

This position is primarily a combination of remote and onsite (hybrid) work locations. Training will be held either ONSITE or via Hybrid (Onsite/Virtual) 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.

University of Iowa Health Care—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.®

WE CARE Core Values:

• Welcoming - We have 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 achieve and deliver our personal and collective best in the pursuit of quality and accessible health care, education, and research.
• Collaboration - We collaborate with health care 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 create an environment where every individual feels safe, valued, and respected, supporting the well-being and success of all members of our community.
• Empowerment - We commit to fair access to research, health care, and education for our community and opportunities for personal and professional growth for our staff and learners.

Position Responsibilities:

• Maintain billing provider records in Provider Enrollment Database (currently CredentialStream) using system workflows and reporting to ensure accuracy.
• Initiate contact with incoming providers to obtain necessary information and forms required for enrollments and NPI Registry maintenance.
• Submit and maintain enrollments for incoming providers with Medicare, Railroad Medicare, Iowa Medicaid.
• Submit updates, revalidations and terminations for all billing providers with Medicare, Railroad Medicare, Iowa Medicaid, as needed.
• Maintain all billing provider NPI Registry records to ensure accuracy, including new applications and updates.
• Submit and maintain provider group enrollments with Medicare.
• Acquisitions and practice relocations enrollment management.
• Monitor pending enrollments using assigned EPIC provider enrollment claim edit work queues.
• Review and resolve provider enrollment denials from assigned EPIC claim follow up work queues.
• Audit requests from out of state Medicaid vendor to ensure accuracy.
• Submit out of state Medicaid provider requests to medical department contacts to obtain required enrollment information and completed provider enrollment forms.
• Audit out of state Medicaid claim edit and follow up work queues.
• Review out of state Medicaid lack of enrollment adjustments.
• Distribute and process provider enrollment mail including enrollment approval, update and deactivation notifications.
• Monitor and respond timely to incoming email related to various inquiries.
• Create and maintain accuracy of all Provider Enrollment informational resources to ensure compliance internally and with payor requirements.
• Meet regularly with the provider enrollment team, leadership and out of state Medicaid vendor.
• Coordinate with providers, medical department staff and leadership, Clinical Staff Office, PFS staff and leadership, and payor contacts on various tasks.
• Identify and present trends, issues and work process improvements to team leadership. 
• Maintain a high-level of accuracy while meeting productivity and quality requirements.
• Support multiple projects on an as-needed basis, demonstrating adaptability and strong attention to detail.

Classification Title: Revenue Cycle Representative (Provider Enrollment)

Department: Patient Financial Services

Pay Grade: 2B

Schedule:  Monday - Friday 8:00 a.m - 5:00 p.m.

Percent of Time: 100%

Location: Hospital Support Services Building (HSSB)
This position is primarily a combination of remote and onsite (hybrid) work locations. Training will be held either ONSITE or via Hybrid (Onsite/Virtual) 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.