[Hiring] Revenue Cycle Representative (Prior Authorization) @University of Iowa

Role Description

The University of Iowa Health Care department of Patient Financial Services is seeking a Prior Authorization Revenue Cycle Representative (RCR) to join our team. This position is focused on delivering exceptional customer service and ensuring a seamless experience for both external stakeholders and internal partners.

• Work in a high volume, fast-paced, web-based application environment.
• Perform prior authorization functions and insurance benefit coverage investigations.
• Exhibit compassion and empathy when collaborating with patients and their families.
• Provide consistent and comprehensive information regarding third party, patient billing, and customer service activities.
• Eligible for remote work within the state of Iowa.
• Training will be held either onsite or via Zoom.

Qualifications

• Bachelor’s degree or equivalent combination of education and relevant experience.
• 6 months or more of related customer service experience in a professional, financial or health care related environment.
• Knowledge of healthcare billing, insurance, and/or federal and state assistance programs.
• Strong attention to detail and accuracy to achieve or exceed organizational and individual performance goals.
• Proficient in computer software applications, e.g., Microsoft Office Suite.
• Effective communication skills (written and verbal) and active listening skills.
• Successful history collaborating in a fast-paced team environment.

Requirements

• Ensure accurate validation of insurance eligibility, coverage details, network agreements, and financial obligations.
• Obtain, track, and complete prior authorizations.
• Interact with physicians, nurses, and clinical support staff to obtain appropriate clinical documentation.
• Problem solve with insurance utilization review nurses and other staff to meet patient care needs.
• Appeal prior authorization denials and/or set up peer-to-peer reviews.
• Utilize Epic to enter and track prior authorization information efficiently.
• Maintain current knowledge of medical modalities and insurance companies.
• Communicate with providers, payers, patients, and internal departments to resolve authorization denial issues.
• Review and analyze report data to provide status updates to leadership.

Benefits

• Eligible for remote work arrangements.
• Training provided either onsite or via Zoom.
• Workstation provided with necessary equipment.

Company Description

The University of Iowa Health Care is recognized as one of the best hospitals in the United States and is Iowa's only comprehensive academic medical center. Our mission is: Changing Medicine. Changing Lives.®

• More than 12,000 employees, students, and volunteers work together to provide safe, quality health care.
• Promotes a culture of Service Excellence.