Revenue Cycle Representative - Emergency Department (ED) - Medical Center University (MCU) - Patient Access Management (PAM) - PFS

Position Responsibilities

• Analyze and verify patient demographic, insurance eligibility and financial information/responsibility for accurate claim submission and reimbursement.
• Communicate with providers, payers, patients, internal departments, co-workers, and Leadership to resolve issues.
• Going inpatient floors for registration completion on WOW (workstations on wheels).
• Work with court system to provide time sensitive documents and ensure that deadline dates are met and that UI Health Care is in compliance.
• 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.
• Maintain extensive working knowledge and expertise based around payer regulations/policies, financial classifications and financial assistance programs.
• Build and maintain solid working relationships with interdepartmental and clinical staff, referral sources, insurance companies, medical providers, and the public.
• Aid other Patient Access Management (PAM) areas with departmental needs and cross coverage.
• Other duties as assigned.

Classification Title

Revenue Cycle Representative (MCD-ED Registration)

Department

Patient Financial Services

Percent of Time

90% onsite (100% ONSITE)

Location

Medical Center University (MCU), 200 Hawkins Drive, Iowa City, IA

Additional Information

An additional 5% added to base salary for high volume and $4,860.00 (annual amount) for applicable overnight and weekend differentials while in this role.

Schedule

Friday, Saturday, Sunday

Hours

1900 - 0700

Equipment

Onsite – The department will provide a workstation which contains 3 (three) monitors, laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies can be found in the supply closet.

Education Required

Bachelor’s degree or equivalent combination of education and relevant experience.

Experience Requirements

Related customer service experience (typically 6 months or more) in a professional, financial, health care or medical 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.

Desirable Qualifications

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. 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. Experience identifying opportunities for improvement and making recommendations and suggestions. Working experience with multiple technology platforms such as Epic, Cirius, ACD, and/or GE.