Revenue Cycle Representative

University of Iowa Health Care

Iowa City, IA Education & Training / Administrative & Clerical $35,624 yearly

Job Reference #: 19001481

Schedule:  Monday – Friday, 8:00am – 5:00pm

Job Duties: Make adjustments to and verify charges to patient accounts in the Hospital Dentistry Institute. To assimilate and analyze medical/dental benefit data to the resolution of a patient’s account; disseminate this information to insurance carriers, 3rd party agencies, the patient, staff and faculty.  Prepare and submit pre‐authorization on the patient’s behalf to their insurance carriers.  

Analyze and explain results of pre‐authorization to the patient.  Collect money, apply to patient account and prepare deposits of revenue.  Manage Account receivables to maximize revenue and minimize outstanding patient balances to include entering/updating patient information and monitoring reimbursement outcomes.  Serve as a resource person to effectively communicate with patients/families and provide financial counseling.

Patient Revenue Management 
  • Compile and enter data to billing system to submit claims to carriers and/or generate patient statement, ensuring accuracy and compliance.
  • Maintain up to date insurance registration and rank appropriately for maximizing reimbursement. 
  • Advise patients of financial policies; work with collection agency to facilitate payment; provide financial counseling to patients and/or families. 
  • Advise patients of financial policies; work with collection agency to facilitate payment; provide financial counseling to patients and/or families. 
  • Verify eligibility of benefits, patient liability, non‐covered exceptions; confirm all steps necessary have been taken to adjudicate claims and billing while providing outstanding customer service. 
  • Submit claims after verifying coding, modifiers if appropriate. 
  • Post self‐pay and insurance payments; initiate patient and insurance refunds and overpayments. 
  • Resolve patient billing account concerns in order to obtain appropriate reimbursement and patient satisfaction in partnership with management and clinical teams. 
  • Establish payment arrangements, counsel and coordinate available financial assistance with patient as necessary.
Operations and Performance Standards 
  • Note discrepancies in payment, changes in coding practices and/or payments to identify unfavorable trends. 
  • Proactively participate in processes to ensure hospital and dental billings are coordinated accurately. 
  • Attend internal, local, regional and possible national meetings to maintain a thorough and competent knowledge of business operations and maintain/improve technical and professional skills. 
  • Review accounts to insure UCR, non‐allowable  is computed correctly or appropriate adjustments are made 
  • Analyze trends in payments and denials, reporting to superviosr 
  • Review delinquent balance report, analyze accounts, prepare documentation to meet required timeframe for appropriate collection status and accurate statement generation.
Reporting
  • Analyze and interpret outstanding claims reports; follow‐up with appropriate action to minimize outstanding balances. 
  • Utilize reports to review financial status of upcoming appointments, identify payment plan opportunities, pre‐approvals, and required payment prior to service. 
  • Review monthly Account Receivables report by provider to identify any difficulties with personal payment and insurance issues.
Communication/Training
  • Assist in the development of and participate in orientation and training for residents, faculty and staff re:  filing procedures, coding changes, documentation requirements. 
  • Demonstrate thorough understanding of policy regulations and coverage to educate patient population as needed. 
  • Demonstrate HIPAA compliance and patient rights’ provide outstanding customer service by mail and in person. 
  • Demonstrates understanding of the patient’s treatment plan, corresponding charges, and insurance status to respond to questions/concerns and provide financial counseling. 
  • Interface with staff, patients, and families by maintaining current, thorough, and accurate notes regarding financial/treatment status.

Successful candidates will be subject to a criminal background check.

REQUIRES: 
  • Bachelor’s Degree in Business Administration, Accounting, Health Administration or equivalent, or equivalent combination of education and relevant experience.  6 months to one year directly related experience which includes a full spectrum of activities managing claims processing in a medical/dental practice

Full job description is available, click apply now to view.

The University of Iowa is an equal opportunity/affirmative action employer. All qualified applicants are encouraged to apply and will receive consideration for employment free from discrimination on the basis of race, creed, color, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, religion, associational preference, status as a qualified individual with a disability, or status as a protected veteran.

Application Instructions:

Please attach a cover letter, resume, and 3 names of professional reference as part of the application process.  Job opening are posted for a minimum of 14 calendar days.  This job may be removed from posting and filled any time after the minimum posting period has ended.  For questions or additional information, please contact CofDRequisitions@uiowa.edu.

Job ID: 67319

Posted 13 days ago

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