- Patient Revenue Management:
- Review pharmacy transactions and submit claims to insurance and/or third-party payors.
- Assist patients and staff with troubleshooting insurance claim issues, benefits investigation and enrollment of patients into pharmacy services (e.g., grants, financial assistance programs).
- Communicate with patients, pharmacists and/ or providers to gather relevant demographic information.
- Initiate and follow through for required prior authorizations.
- Assist with copay/coinsurance assistance when applicable.
- Communicate with patients, the healthcare team and insurance companies for payment acquisition, pre-authorization and to resolve patient account inquiries.
- Appeal/troubleshoot claim payments and/or denials using available resources.
- Monitor compliance standards and policies to ensure UI Health Care receives full and accurate reimbursement for services in compliance with payor rules and regulations.
- Monitor repository and free drug program medications.
- Support patients in applying for grants and financial assistance programs.
- Provide the highest customer service experience for patients and providers.
- Operations and Performance Standards:
- Utilize tools and processes to maximize the efficiency of the revenue cycle.
- Identify areas to improve the medication assistance process.
- Comply with established cash handling policies and procedures of the institution and department.
- Assist with the evaluation and implementation of new products/technology.
- Assist with the evaluation and implementation of new policies and procedures.
- Participate in standard pharmacy operations as the need arises.
- Reporting:
- Analyze and prepare routine reports to identify trends and aid in making financial decisions.
- Report discrepancies found during report analysis.
- Document activities required by accrediting agencies, payors and/or administration (i.e., workload statistics, phone statistics, etc.).
- Communication/Training:
- Communicate with providers, payors, patients, co-workers, supervisors and departments to resolve revenue cycle issues.
- Understand the importance of effective business communication and maintaining professionalism in difficult situations.
- Assist with maintaining resource documents for PMAP.
- Participate in orientation of pharmacy technicians, pharmacists, pharmacy residents and others within the department on pharmacy billing practices.
- Other duties as assigned. Education Requirements:
- Completion of a bachelor's degree or equivalent combination of education and experience.
- Successful completion of the pharmacy technician certification exam within twelve months of the start of employment.
- Must be registered with Iowa Board of Pharmacy prior to commencing employment.
- Previous experience in customer service.
- Experience and proficiency with computer software applications (i.e., Microsoft Office Suite - Word, Excel, Outlook, PowerPoint) or comparable programs.
- Strong attention to detail and proven ability to gather and analyze data and keep accurate records.
- Self-motivated with initiative to seek out additional responsibilities, tasks and projects.
- Effective verbal and written communication skills, active listening skills and the ability to maintain professionalism while handling difficult situations.
- Demonstrate ability to follow policies and procedures while escalating issues as needed.
- Familiarity with medical terminology.
- Experience working in a complex hospital system is desirable.
- Experience working in a collaborative team environment is desirable.
- Pharmacy experience is desirable.
- Basic knowledge of healthcare billing, experience working with insurance and/or federal and state assistance programs is desirable.
- Working experience with multiple technology platforms (i.e., Epic, GE) is desirable.
- Basic knowledge and understanding of the Health Insurance Portability and Accountability Act (HIPAA) is desirable.
- Classification Title: Revenue Cycle Representative
- Appointment Type: Professional and Scientific
- Schedule: Full-time
- Pay Level: 2B
- Organization: Healthcare
- Contact Name: Penni Berger
- Contact Email: penni-
-
Revenue Cycle Representative
3 weeks ago
University of Iowa Iowa City, United StatesThe University of Iowa Hospitals & Clinics department of Patient Financial Services is seeking a Revenue Cycle Representative for the Physician Hospital Accounts Receivable Management (PHARM) division for the Reimbursement Verification team. This financial and insurance related p ...
-
Revenue Cycle Representative
4 weeks ago
University of Iowa Iowa City, United StatesJob Summary: · The Credits Revenue Cycle Representative (RCR) is an entry-level financial and insurance related position in the healthcare industry. Physician/Hospital Accounts Receivable Management (P/HARM) team members are divided among our sub-teams (i.e. Commercial Insurance ...
-
University of Iowa Iowa City, United StatesThe University of Iowa Health Care, Department of Pharmaceutical Care, is seeking a full-time Pharmacy Medication Assistance Revenue Cycle Representative to join our team. The Revenue Cycle Representative is a financial position in the healthcare ind Revenue, Cycle, Medication, R ...
-
University of Iowa Iowa City, United StatesThe Department of Pharmaceutical Care is seeking a full-time Prior Authorization Revenue Cycle Representative to join our team. The Pharmacy Prior Authorization Revenue Cycle Representative works to support patients in obtaining insurance coverage fo Authorization, Revenue, Cycle ...
-
University of Iowa Iowa City, United StatesThe University of Iowa Health Care, Department of Pharmaceutical Care, is seeking a full-time Pharmacy Medication Assistance Revenue Cycle Representative to join our team. The Revenue Cycle Representative is a financial position in the healthcare industry necessary for hospital a ...
-
University of Iowa Iowa City, United StatesThe Department of Pharmaceutical Care is seeking a full-time Prior Authorization Revenue Cycle Representative to join our team. The Pharmacy Prior Authorization Revenue Cycle Representative works to support patients in obtaining insurance coverage for outpatient pharmacy medicati ...
-
The University Of Iowa Iowa City, United StatesThe Department of Pharmaceutical Care is seeking a full-time Prior Authorization Revenue Cycle Representative to join our team. The Pharmacy Prior Authorization Revenue Cycle Representative works to support patients in obtaining insurance coverage for outpatient pharmacy medicati ...
-
N/A Iowa City, United StatesThe Department of Pharmaceutical Care is seeking a full-time Prior Authorization Revenue Cycle Representative to join our team. The Pharmacy Prior Authorization Revenue Cycle Representative works to support patients in obtaining insurance coverage for outpatient pharmacy medicati ...
-
Quality Manager
1 week ago
A. O. Smith Corporation Johnson City, United StatesCompany / Location Information · A. O. Smith is a global leader applying innovative technologies and energy-efficient solutions to products manufactured and marketed worldwide. The company is one of the world's leading manufacturers of residential and commercial water heating equ ...
-
Coding Representative
3 weeks ago
University of Iowa Iowa City, United States Full timeCoding Representative (Remote Eligible), Health Information Management (HIM), University of Iowa Hospitals and Clinics, Department of Health Information Management, Hospital Support Services Building (HSSB), 3281 Ridgeway Drive, Coralville, IA 52241 · Classification Title: Coding ...
-
Revenue Cycle Coordinator
3 weeks ago
University of Iowa Iowa City, United StatesThe Revenue Cycle Coordinator for the Emergency Department is a supervisory position that may have 8-15 direct reports that can be a mix of P&S and/or student positions and will serve as a resource for complex billing issues and high-level patient events. You must have outstandin ...
-
Snr Pharmacy Technician, Certified
3 weeks ago
University of Iowa Iowa City, United StatesThe University of Iowa Health Care, Department of Pharmaceutical Care is seeking a full-time Senior Pharmacy Technician to join our Ambulatory Care Team. Provides specialized support to the Ambulatory Care Pharmacies, which requires one on one contact with patients in their hospi ...
-
Danaher Corporation Coralville, United States Paid WorkIntegrated DNA Technologies (IDT) is the leading manufacturer of custom oligonucleotides and proprietary technologies for genomics applications. Our work is complex and cutting-edge, and our team members are curious, creative thinkers who understand that good data drives smart de ...
-
Integrated DNA Technologies Coralville, United StatesIntegrated DNA Technologies (IDT) is the leading manufacturer of custom oligonucleotides and proprietary technologies for genomics applications. Our work is complex and cutting-edge, and our team members are curious, creative thinkers who understand that good data drives smart de ...
-
Account Executive, OnMedia
4 days ago
MediaCom Coralville, United StatesAccount Executive, OnMedia · Job Posting Location Coralville, IA · Working Hours 40 · Apply Now ) · Position: Account Executive, OnMedia · Who we are: · Since 1995, Mediacom Communications has become a coast-to-coast presence with operations in 22 states and a team exceeding 4,00 ...
-
Materials Analyst
2 weeks ago
TVS Supply Chain Solutions Iowa City, United States· Materials Analyst · A Materials Analyst is responsible for inventory tasks such as cycle counting, audits, systematic assembly builds, as well as supporting the material team. · Essential Functions · Reasonable accommodations may be made to enable individuals with disabilit ...
-
Materials Analyst
2 weeks ago
TVS Supply Chain Solutions Iowa City, United States· Materials Analyst · A Materials Analyst is responsible for scheduling, planning, shipping/receiving, and inventory record adjustments, as well as controlling customer parts and supplies. · Essential Functions · Reasonable accommodations may be made to enable individuals wit ...
-
Patient Access Specialist
2 weeks ago
Ensemble Health Partners Johnson City, United StatesThank you for considering a career at Ensemble Health Partners · Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle so ...
-
Fraud Risk Sr Group Manager
2 weeks ago
Citigroup Inc Johnson City, United StatesThe Fraud Risk Sr Group Manager manages multiple teams through other managers. In-depth understanding of how own sub-function contributes to achieving the objectives of the function. A good understanding of the industry, direct competitors' products and services, is also necessar ...
-
Snr Pharmacy Technician, Certified
3 weeks ago
The University Of Iowa Iowa City, United StatesThe University of Iowa Health Care, Department of Pharmaceutical Care is seeking a full-time Senior Pharmacy Technician to join our Ambulatory Care Team. Provides specialized support to the Ambulatory Care Pharmacies, which requires one on one contact with patients in their hospi ...
Pharmacy Medication Assistance Revenue Cycle Representative - Iowa City, United States - N/A
Description
The University of Iowa Health Care, Department of Pharmaceutical Care, is seeking a full-time Pharmacy Medication Assistance Revenue Cycle Representative to join our team. The Revenue Cycle Representative is a financial position in the healthcare industry necessary for hospital and pharmacy billing practices. This position requires strong computer skills, a high level of attention to detail and a general knowledge of hospital and prescription billing practices. The Revenue Cycle Representative will work closely with other staff within the department to support pharmacy revenue management (e.g., benefits investigation, prior authorization support, copay assistance, patient assistance programs), complete routine pharmacy billing activities, and assist with operational workload (e.g., filling prescriptions, inventory management of repository and free drug programs) in PMAP.Position Responsibilities:
In order to be considered for an interview, applicants must upload the following documents and mark them as a "Relevant File" to the submission:
• Resume
• Cover Letter
Job openings are posted for a minimum of 14 calendar days and may be removed from posting and filled any time after the original posting period has ended.
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.
For additional questions, please contact Penni Berger at penni-
Additional Information
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, religion, national origin, age, sex, pregnancy (including childbirth and related conditions), disability, genetic information, status as a U.S. veteran, service in the U.S. military, sexual orientation, gender identity, or associational preferences.