Revenue Cycle Coordinator (Prior Auth) - Patient Access Management (PAM) - Patient Financial Services (PFS) jobs in United States
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University of Iowa Research · 4 hours ago

Revenue Cycle Coordinator (Prior Auth) - Patient Access Management (PAM) - Patient Financial Services (PFS)

University of Iowa Research is seeking a Revenue Cycle Coordinator to oversee the Patient Financial Services department. This role involves supervising staff, managing patient revenue accounts, and ensuring compliance with billing processes while providing training and support to team members.

Research

Responsibilities

Supervise work of Patient Account Representatives and/or Revenue Cycle Representatives and serve as a payor expert and technical resource
Develop new and current staff through training to improve revenue cycle knowledge; work with staff to suggest additional options to resolve patient accounts
Oversee and review employee’s work to determine if appropriate actions have been taken
Perform QA checks and productivity audits; identify and resolve undesirable trends; prepare reports to assure quality and productivity requirements are being met
Develop and monitor employee performance goals to ensure compliance
Implement new processes developed by management to ensure processes are operating effectively and efficiently; make recommendations based on analysis of data
Keep current on industry knowledge, skills and certifications to serve as a resource to employees and to conduct job duties

Qualification

Prior authorizationsRevenue cycle managementMedical billingMicrosoft Office SuiteCustomer serviceAnalytical skillsProblem resolutionLeadership skillsTime managementInterpersonal skills

Required

Bachelor's degree or equivalent education and experience in a financial, medical billing, coding and/or revenue cycle environment(s)
1+ year of experience with prior authorizations
Outstanding attention to detail and proven ability to gather and analyze data and make recommendations
Proficient in the use of Microsoft Office Suite with strong Excel skills or comparable programs and the ability to learn and apply new software knowledge quickly
Experience (typically one year or more) in a high-volume customer service environment that demonstrates an ability to manage difficult conversations and resolve conflicts; ability to influence (without authority), and experience with escalation techniques
Demonstrated skills in time management and managing multiple priorities
Ability to demonstrate the core leadership competencies and commitments for the organization which includes striving for performance excellence
Demonstrated proficiency in understanding medical necessity and the ability to navigate complex insurance policies and clinical criteria

Preferred

1+ year experience in medical claims processing, healthcare revenue cycle or medical coding
Advanced knowledge of medical terminology and health care billing
Demonstrated ability to prioritize and coordinate inquiries and concerns of customers: patients, staff, administration and public
Experience as a team leader or supervisor
Experience identifying opportunities for improvements in processes, procedures and reporting

Company

University of Iowa Research

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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 Stage
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