Job Description
University of Iowa Health Care seeks a revenue cycle representative to resolve claims from assigned queues, ensuring compliance with timely filing and appeal guidelines in the Physician-Hospital Accounts Receivable Management division. The role involves examining and verifying medical records against third-party payor requests using the Epic Release of Information functionality. Representatives identify trends like reimbursement errors, communicate findings to leadership, and review data reports for status updates. They liaise with providers, payers, patients, departments, and coordinators using web-based applications, prioritizing tasks in a high-volume environment while maintaining productivity and quality standards.
University of Iowa Health Care serves as Iowa's only comprehensive academic medical center and a regional referral center. More than 12,000 employees, students, and volunteers collaborate to provide safe, quality health care. The Patient Financial Services department manages billing for professional and hospital services, supporting the institution's mission of Changing Medicine. Changing Lives.
Representatives evaluate medical documents for completeness, accuracy, and conformity to payer guidelines in Commercial, Medicare, Medicaid, and facility/hospital billing teams. They prepare, compile, and maintain records, assess variances from expected payments, and analyze report data to identify process improvements. Communication occurs with internal and external parties to resolve discrepancies, often directly interacting with patients showing compassion and empathy. Tools include Microsoft Office Suite applications like Excel and Outlook for data analysis and Epic for information release. The position may liaise with assigned hospital departments, using desktop workstations equipped with multiple monitors. A primary challenge is remaining focused on prioritizing claims in a fast-paced setting where multitasking across diverse payer types requires ongoing concentration.
The full-time role offers 100% schedule at Hospital Support Services Building, with potential for remote work after training, as arrangements are reviewed annually and must comply with policies. Travel requirements are none. Pay grade 2B follows merit plans not explicitly detailed. Benefits include paid vacation, sick leave, health, dental, life, and disability insurance, plus employer retirement contributions. Equipment for remote setups includes self-supplied monitors, keyboards, mice, and verified internet speeds of 30mb download/10mb upload.
Responsibilities
- Resolve claims from assigned work-queue to ensure timely filling/appeal guidelines
- Examine, evaluate and verify medical record documents for completeness, accuracy, and conformity to third party payor requests/audits using Epic Release of Information
- Prepare, compile, and maintain records
- Identify and report undesirable trends and reimbursement modeling errors or underlying causes of incorrect payment
- Review allowed variances from third party payers and analyze data for status updates and process improvements
- Communicate with providers, payers, patients, internal departments, co-workers, and Coordinators to resolve issues
Requirements
- Bachelor's degree or equivalent combination of education and experience
- 6 months customer service experience in professional, financial, health care or medical related environment
- 6 months experience working with law firms on medical documentation needs and invoicing
- Strong attention to detail with ability to gather and analyze data and keep accurate records
- Proficiency with Microsoft Office Suite or comparable programs and ability to learn new systems
- Ability to handle complex and ambiguous situations with minimal supervision
- Self-motivated with initiative to seek additional responsibilities
- Desirable: Experience handling difficult situations professionally, maintaining productivity/quality, familiarity with HIPAA and medical terminology, and basic knowledge of healthcare billing and insurance programs
- Resume and optional cover letter required