University of Iowa Research · 10 hours ago
Revenue Cycle Representative (Financial Counseling) - Self-Pay, Analytics, Revenue Cycle Counseling (SPARC) - Patient Financial Services
University of Iowa Research is seeking a Revenue Cycle Representative (Financial Counseling) for an entry-level financial services position in the healthcare industry. The Financial Counselor will provide exceptional customer service and financial counseling to patients and families, ensuring they understand their financial obligations and assisting them with available funding sources.
Research
Responsibilities
Coordinate with clinical department leaders, medical staff and hospital coders to develop treatment plans of care for financially unsecure patients
Provide assistance in educating department leaders, medical staff and other UI Health Care employees on internal policies, changes, and processes such as UI Health Care’s Patient Access Policy and Pre-Service Charge Adjustment Review Team (CART)
Prepare and submit Pre-Service CART forms as well as facilitate Pre-Service CART process
Collaborate with Payor Relations on new agreements for underinsured patients
Verify benefits and provide financial counseling to patients and families to ensure they are advised of their financial obligations, with appropriate financial arrangements made according to the hospitals financial policy
Use knowledge of Current Procedure Terminology (CPT) to generate self-pay and insured estimates for one-time services and treatment plans via the Epic Estimator. Use attention to detail when verifying benefit information from insurance websites as well as Real Time Eligibility (RTE) queries
Provide financial counseling via phone and/or in-person based on the patient’s liability and ability to pay
Advise patients and/or family members about their healthcare accounts, collect appropriate self-pay balances, establish payment arrangements, screen and link patients to the available funding sources such as: Medicaid, COBRA Subsidy program, Immergruen, Healthcare Marketplace, Payment Plans, and external Financing Options
Screen patients, educate and facilitate application process for UI Health Care’s internal financial assistance program prior to receiving care
Identify and assist patients who are unable to pay their estimated liability or who have existing balances
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 and take appropriate actions
Qualification
Required
Bachelor's degree; or equivalent combination of education and experience
Minimum 6 months revenue cycle, health insurance or related customer/patient focused service experience
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 remain professional while managing difficult situations with callers, customers or patients and able handle complex and ambiguous situations with minimal supervision
Self-motivated with initiative to seek out additional responsibilities, tasks and projects
Excellent, professional verbal and written communication skills to provide outstanding customer service and support a 'Service Excellence' environment working with a professional and patient population
Basic knowledge of medical terminology and working knowledge of HIPAA laws and regulations
Preferred
Demonstrated ability to maintain or improve established productivity and quality requirements
Working knowledge healthcare billing and/or Federal and state assistance programs
Bi-lingual skills in a foreign language highly desired (Spanish and/or French highly preferred)
Benefits
5% high−intensity, high−volume patient contact stipend
Company
University of Iowa Research
The Office of the Vice President for Research is committed to forging new frontiers of discovery by providing resources and support to researchers and innovators at the University of Iowa, to promote a culture of creativity that enriches the campus, the state, and the world.
Funding
Current Stage
Late StageCompany data provided by crunchbase