Revenue Cycle Manager - Physician/Hospital Accounts Receivable Management (PHARM) - Patient Financial Services (PFS)

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.

About the Role

This position is responsible for planning, coordination, and management of all aspects of revenue cycle management operations and projects for an area(s) within the Physician/Hospital Accounts Receivable Management (P/HARM) division. A main focus area of responsibility will be the management of physician accounts receivable, with payor expertise. The Revenue Cycle Manager will supervise front-line supervisors, each with additional direct staff, and manage and direct revenue activities. This is a hybrid role, combining remote and onsite work locations. Remote work must be performed at an offsite location within the State of Iowa.

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.

Responsibilities

• Plan, coordinate, and manage the operations of multiple insurance and billing follow-up business units, including the University of Iowa Physicians (UIP) and UI Health Care departments.
• Serve as liaison to Hospital Departments, Clinical Departments, third-party payers, and external vendors.
• Drive excellence in all areas of operations by focusing on People, Quality, Service, Financials, Growth, and Employee Motivation.
• Define and track key performance measures, monitor progress, and consistently deliver results.
• Design, test, and implement work processes and technology to promote automation and increase process efficiency.
• Develop and implement new procedures and workflow to enhance cash collections for services rendered by clinical departments.
• Monitor statistical data, including payer denial data, to recommend and implement operational procedures and protocols to improve services, reduce costs, decrease days of revenue, and increase cash flow.
• Schedule and assign all supervisory and clerical staff in the assigned areas, ensuring staffing levels are maintained to provide timely and accurate follow-up.
• Develop, implement, and monitor staff performance standards, including motivational incentives within established institutional and state guidelines.
• Develop and present critical topics tied to revenue management to PFS Leadership and UI Health Care Administration.
• Assist in planning, developing, and implementing computer applications, upgrades to the billing system, Epic workflows, and other bolt-on software products.
• Assist the Director with compilation and preparation of special and periodic statistical and financial reports for the PFS Assistant Vice President, Clinical Department Administrators, Clinic Department Executive Officers, as well as College of Medicine and Hospital Administration.
• Perform human resource functions, including interviewing, selection, training, performance evaluation, promotion, and disciplinary action.
• Work closely with the PFS Training Department to create training curriculums and communicate areas of training need specific to the P/HARM staff.
• Respond to inquiries and complaints from patients, clinical and hospital staff, and the public; determine escalation of patient accounts to upper management.
• Assist the P/HARM Director in the establishment of annual operating budgetary needs for designated departments and monitor performance to achieve targeted levels of fiscal performance.
• Assist in negotiating and monitoring contracts with external vendors.
• Coordinate with Strategic Relations and other University departments to request bids for contracted services and manage the implementation of services once the supplier is awarded the contract.

Requirements

• Bachelor’s degree in Business, Financial, Healthcare Administration, or other relevant discipline OR a combination of education and healthcare revenue cycle experience.
• Minimum of 3 years of hospital and physician billing and follow-up experience, preferably in a high-volume clinic or hospital setting, with proven analytical skills in the interpretation of financial data.
• Supervisory experience (typically 1–3 years) in a high-volume, fast-paced customer service teamwork environment, successfully resolving a variety of personnel issues.
• Proficiency with office software such as Microsoft Office Suite (Word, Excel, PowerPoint).
• Working experience with multiple technology platforms such as Cirius and/or Epic.
• Proven success in identifying trends, opportunities for operational improvement, and providing solutions to improve processes and workflows.
• Maintain current knowledge and stay aware of industry trends, continually striving for improvement with both technical and professional skills.
• Working knowledge of HIPAA laws, CMS regulations, and treat all information received confidentially.
• Strong planning and organizational skills.

Preferred Qualifications

• Knowledge of insurance benefits and requirements as related to individual companies and policies.
• Knowledge of Epic.
• Knowledge of Electronic Eligibility Systems.

Schedule

Monday - Friday, full-time (100% time). This position is primarily a combination of remote and onsite (hybrid) work locations. Remote work must be performed at an offsite location within the State of Iowa. Training will be held either onsite at the HSSB building or via Zoom, with location and length of training determined by the supervisor. Remote eligibility will be evaluated upon satisfactory completion of job training. Work arrangements will be reviewed annually and must comply with the remote work program and related policies.

Equipment

• Onsite – The department will provide a workstation with 3 monitors, laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies.
• Hybrid – While working onsite, the department will provide a workstation with 3 monitors, laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies. When working offsite, the employee will take their laptop/power cord and a second docking station/power cord to keep offsite. Prior to working offsite, the employee, at their own expense, will need to supply 2 monitors (in addition to the university-issued laptop, which serves as a third monitor), a keyboard, and a mouse. Employees must provide a photo of the domicile office setup and perform an internet speed test (speedtest.net) with a minimum 30mb download and 10mb upload reflecting a University of Iowa IP address, then provide a screenshot of the speed test to HR.
• Remote – When working offsite, the department will provide a laptop/power cord, docking station/power cord, and headset. Prior to working offsite and at their own expense, the employee will be required to obtain or possess 2 monitors (in addition to the university-issued laptop, which serves as a third monitor), a keyboard, and a mouse. Employees must provide a photo of the domicile office setup and perform an internet speed test (speedtest.net) with a minimum 30mb download and 10mb upload reflecting a University of Iowa IP address, then provide 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.