Revenue Cycle Representative (Urgent Admissions) - Patient Access Management (PAM) - Patient Financial Services (PFS) jobs in United States
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University of Iowa · 1 hour ago

Revenue Cycle Representative (Urgent Admissions) - Patient Access Management (PAM) - Patient Financial Services (PFS)

University of Iowa Health Care is seeking a Revenue Cycle Representative for their Patient Financial Services department. The role involves providing exceptional customer service to patients and managing various aspects of patient accounts and insurance eligibility in a fast-paced environment.

EducationHigher EducationUniversities
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H1B Sponsor Likelynote

Responsibilities

Analyze and verify patient demographic, insurance eligibility and financial information/responsibility for accurate claim submission and reimbursement
Review accounts and initiate pre-certification, pre-authorization, referral forms and other requirements related to managed care; route to appropriate departments as needed
Advise patients and/or family members about their healthcare accounts and link patients to the available funding sources such as: Medicaid, Healthcare Marketplace, Payment Plans and Uncompensated Care
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
Work with court system to provide time sensitive documents and ensure that deadline dates are met and that UI Health Care is in compliance
Maintain extensive working knowledge and expertise based around payer regulations/policies, financial classifications and financial assistance programs
Build and maintain solid working relationships with clinical staff, referral sources, insurance companies, medical providers and public

Qualification

Customer service experienceHealthcare billing knowledgeAttention to detailMicrosoft Office SuiteEffective communicationMedical terminologyHIPAA knowledgeTechnology platform experienceTeam collaboration

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

Preferred

Experience maintaining professionalism while handling difficult situations with callers or customers
Demonstrated ability to maintain or improve established productivity and quality requirements
Familiarity with medical terminology
Basic knowledge of Health Insurance Portability and Accountability Act (HIPAA) laws
Basic knowledge of healthcare billing (healthcare revenue cycle); insurance, and/or federal and state assistance programs
Experience identifying opportunities for improvement and making recommendations and suggestions
Working experience with multiple technology platforms such as Epic, Cirius, ACD, and/or GE
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

Benefits

5% to base salary for high intensity role.

Company

University of Iowa

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On our beautiful campus spanning the Iowa River, our faculty and staff enjoy access to an array of cultural, educational, and recreational activities.

H1B Sponsorship

University of Iowa has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (289)
2024 (300)
2023 (244)
2022 (217)
2021 (201)
2020 (193)

Funding

Current Stage
Late Stage
Total Funding
$2.5M
Key Investors
Windgate Foundation
2022-08-17Grant· $2.5M

Leadership Team

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Kurt H.
Assoc. Professor, E-MBA Business, UI College of Business; Advised 300 companies globally, CEO
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Vince Nelson
President & CEO
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Company data provided by crunchbase