What are the responsibilities and job description for the Revenue Cycle Representative Department of Radiation Oncology position at Jobs@UIOWA Careers?
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. Simply stated, our mission is: Changing Medicine. Changing Lives.
The Revenue Cycle Representative (RCR) is an entry-level customer service and financial related position in
the healthcare industry. The RCR will provide exceptional customer service to our external customers:
patients, insurance contacts, etc; as well as internal customers. Support UI Health Care “Service Excellence”
standards to all our customer groups, utilize tools and processes to make independent decisions and will
maintain integrity and treat internal and external customers respectfully. The RCR will work in a high
volume web-based application environment and be part of an incoming and outbound call environment.
•Contact patients, insurance companies, pre-authorization, referrals, and to resolve patient account
inquiries.
• Ensure all patient appointments are financially secured by completing insurance notification if
referral or preauthorization is required. Analyze and verify patient demographic, insurance
eligibility and financial information/responsibility for accurate claim submission and
reimbursement.
• Provide financial counseling to patients and families; and/or determine if appropriate payment has
been made by various entities; and/or work with patients and insurance companies to obtain
correct payments; and/or appeal claim payments and/or denials.
• Identify & report trends and reimbursement modeling errors and/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 supervisor to
resolve issues.
• Work with PFS and payors to provide time sensitive documents and ensure that deadline dates are
met and that UI Health Care is in compliance.
• Maintain extensive working knowledge and expertise based around payer regulations/policies,
financial classifications.
• Build and maintain solid working relationships with clinical staff, referral sources, insurance
companies, medical providers and public.
• Work Epic-work queues related to referrals/pre-authorizations, and any associated denials and
requested documentation.
Education Requirements
• A Bachelor of Science degree or an equivalent combination of education and 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.
• Ability to demonstrate the core competencies and commitments for the organization which
includes striving for performance excellence to include a “Basic” proficiency of the Universal
Competencies.
• Must have demonstrated ability to prioritize, multi-task & quickly change focus in fast-paced team
environment.
• Must have the ability to exhibit compassion and empathy when working directly with patients
and/or their families.
• Professional experience working effectively with individuals from a variety of backgrounds and
perspectives.
Desired 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.
• Basic knowledge of Health Insurance Portability and Accountability Act (HIPAA) laws.
• Basic knowledge of healthcare billing (healthcare revenue cycle); insurance, and/or federal and
state assistance programs.
Application Process: In order to be considered for an interview, applicants must upload the following documents and mark them as a “Relevant File” for the submission:
- Resume
- Cover Letter
Job openings are posted for a minimum of 7 calendar days and may be removed from posting and filled any time after the original posting period has ended. Applications will be accepted until 11:59 PM on the date of closing.
Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to 5 professional references will be requested at a later step in the recruitment process.