Revenue Cycle Representative

University of Iowa Iowa City, IA
Percent Time:100%Type of PositionRegular: A position which is considered essential for the effective long-term operation of the university. Persons appointed to this position will receive the privileges and benefits associated with regular employment status.Duties:

Job Summary:

The Revenue Cycle Representative (RCR) is an entry-level financial position in the healthcare industry. RCR's assigned to the Emergency Department (ED) have a unique perspective working directly with patients and their families when they visit the Emergency Department. ED RCR's must have an exceptional attention to detail and demonstrated ability to prioritize, multi-task & quickly change focus. ED RCR's will be expected to adhere to scheduled hours in this fast-paced 24/7, team environment.

The potential working hours for this position will flexing between 7:00 AM – 2:30 AM with a schedule indicated below:

* 12-14 hrs Sunday, Monday, Tuesday

* Potential 4 hours flexing one day each week

* This position will also be held to an on-call schedule 1-2 days per month and be required to work 4 holidays per year.

ED RCR's 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.

Key Areas of Responsibility:

* 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, Authorization for Release of Information and Payment Request Form; Medicare Lifetime Reserve Letter and/or 1989 Consent to Release of Information Form and others as needed.

The information contained herein is not intended to be an exhaustive list of all responsibilities and qualifications required of individuals performing the job.

* Please note: Five (5) professional references will be required at a later step during the hiring.

Education Required:

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

Experience Required:

* 6 months or more of related customer service experience in a professional, financial or health care related environment.

* 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 handle complex and ambiguous situations with minimal supervision.

* Self-motivated with initiative to seek out additional responsibilities, tasks and projects.

* Effective communication skills (written and verbal), active listening skills and the ability to maintain professionalism while handling difficult situations with callers or customers.

* Successful history collaborating in a fast-paced team environment.

* Demonstrated ability to follow policies and procedures while escalating issues as needed.

Desirable Qualifications:

* Demonstrated ability to maintain or improve established productivity and quality requirements.

* Knowledge of Health Insurance Portability and Accountability Act (HIPAA) laws.

* Knowledge of healthcare billing (healthcare revenue cycle); insurance, and/or federal and state assistance programs.

* Familiarity with medical terminology.

* Experience identifying opportunities for improvement and making recommendations and suggestions.

* Experience with multiple technology platforms such as GE, Cirius ACD, and/or Epic.

* Ability to drive results and foster accountability throughout the team and organization.

* Maintain current awareness of industry trends and continually strive for improvement with both technical and professional skills.

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