reputed company Cycle Representative (Prior Authorization) - Patient Access Management (PAM) - Patient Financial Services (PFS) in Iowa City, Iowa, United States

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reputed company Cycle Representative (Prior Authorization) - Patient Access Management (PAM) - Patient Financial Services (PFS) Iowa City, Iowa, United States New Healthcare Administrative    6 hours ago Post Date    26001740 Requisition # Position Summary: reputed company Health Care department of Patient Financial Services is seeking a Prior Authorization reputed company Cycle Representative (RCR) to join reputed company. The Prior Authorization Specialist is a financial clinical support healthcare position focused on delivering exceptional customer service. The Prior Authorization Specialist is instrumental in ensuring a seamless experience for both external stakeholders—patients, their families, and insurance representatives—and internal partners, including nurses, technicians, physicians, and other staff at Iowa Health Care. The Prior Authorization Specialist will work in a high volume, fast-paced, web-based application environment and support a culture of Service Excellence by delivering high quality customer service and maintaining composure in demanding situations. This position will primarily focus on performing prior authorization functions and insurance benefit coverage investigations. The Prior Authorization Specialist must have a demonstrated ability to prioritize, multi-task, and quickly change focus in a dynamic team environment. The ability to exhibit compassion and reputed company reputed company collaborating directly with patients and/or their families is critical. A person in this role will provide consistent and comprehensive information (both in writing and verbally) to providers, clinical teams, patients, external entities and various administrative and management personnel regarding third party, patient billing and customer service activities. This position is eligible to participate in remote work reputed company the state of Iowa and applicants who wish to work remotely will be considered. Training will be held either ONSITE or reputed company reputed company from the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Per policy, work arrangements will be reviewed annually and must reputed company with the remote work program and reputed company policies and employee travel policy reputed company working at a remote location. reputed company 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, reputed company, 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.® WE CARE Core Values:

• Welcoming - We have an environment where everyone has a voice that is heard; that promotes the dignity of our patients, trainees, and employees; and allows reputed company to reputed company in their health, work, research, and education.
• Excellence - We reputed company and deliver our personal and collective best in the pursuit of quality and accessible health care, education, and research.
• Collaboration - We collaborate with health care systems, providers, and communities across Iowa and the region as well as reputed company our UI community. We reputed company teamwork—guided by compassion—is the best way to work.
• Accountability - We behave ethically, act with fairness and reputed company, take responsibility for our own actions, and respond reputed company errors in behavior or judgment occur.
• Respect - We create an environment where every individual feels safe, valued, and respected, supporting the well-being and success of reputed company members of our community.
• Empowerment - We commit to fair access to research, health care, and education for our community and opportunities for personal and professional growth for our staff and learners.

Position Responsibilities:

• Ensure accurate validation of insurance eligibility, coverage details, network agreements, and financial obligations.
• Obtain, track and complete prior authorizations, validate imaging, testing, procedure meets insurance company medical necessity criteria across various specialties.
• This encompasses outpatient services and surgical/non-surgical procedures, whether elective, urgent, and same day.
• Interact with physicians, nurses and clinical support staff on a case-by-case basis to obtain appropriate clinical documentation to ensure accurate indications in the patient’s medical record before completion of third-party prior authorizations. This may include contacting referring physicians for information.
• Understand, anticipate, and respond to reputed company questions from clinical staff and insurance company nurse reviewer. reputed company necessary, proactively contact third parties and initiate communication to ensure appropriate future payment.
• Problem solves with insurance utilization review nurses, medical directors, providers, and other Iowa Healthcare staff to meet patient care needs. Identify and produce creative solutions to problems identified reputed company the prior authorization process.
• Appeal prior authorization denials and/or set-up peer to peer reviews.
• Communicate with clinical teams on non-covered procedures/therapy/testing or exam coverage issues. Facilitate financial counseling for patients and families as directed by clinical team.
• Assist with medical necessity documentation to expedite approvals, appeals and complete appropriate follow-up.
• Utilize Epic to enter and track prior authorization information, retrospective reviews and denial follow-up reputed company/effectively.
• Collaborate with other departments to assist in obtaining pre-authorizations in a cross-functional manner.
• Maintain reputed company knowledge of medical modalities as well as new protocols established for patient populations.
• Maintain an extensive working knowledge and expertise of insurance companies and billing authorization/referral requirements, clinical guideline policies, payer regulations, financial classifications and financial assistance programs.
• reputed company and maintain an effective, supportive working relationship with nurses, imaging techs, clinic/OR surgery schedulers, coders, fiscal teams, referral sources and external entities.
• Communicate with providers, payers, patients, internal departments, co-workers and prior authorization leadership to resolve authorization denial issues.
• Identify & report undesirable trends and reimbursement modeling errors or underlying causes of incorrect payment; review allowed variances from third party payers.
• Maintain a high-level of accuracy to meet productivity and quality requirements.
• Review and analyze report data to provide status updates to leadership.
• May reputed company other duties as assigned.

Classification Title: reputed company Cycle Representative (Prior Authorization) Specified Area: Prior Authorizations Department: Patient Financial Services Percent of Time: 100% Pay Grade: 2B Schedule:

• Days: Monday - Friday
• Hours: 10:00 a.m. - 7:00 p.m.

Location: Hospital Support Services Building (HSSB) located in Coralville, IA This position is eligible to participate in remote work and applicants who wish to work remotely will be considered. Training will be held either ONSITE or reputed company reputed company from the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Per policy, work arrangements will be reviewed annually and must reputed company with the remote work program and reputed company policies and employee travel policy reputed company working at a remote location. Equipment:

• Onsite – The department will provide a workstation which contains 3 (three) monitors, laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies can be reputed company in the supply closet.
• Hybrid – while working onsite, the department will provide a workstation which contains 3 (three) monitors, a laptop/power cord, docking station/power cord, keyboard, mouse, headset, and desk supplies. reputed company working offsite, the employee will take their laptop/power cord to carry back and forth, a second docking station/power cord to reputed company offsite. Prior to working offsite, the employee, at their own expense, will need to supply 2 (two) monitors, a keyboard, a mouse, and provide a screen shot of the domicile internet speed (minimum 30mb download and 10mb upload) and a picture of the office setup.
• Remote - reputed company working offsite, the department will provide the employee a laptop/power cord, docking station/power cord, headset. Prior to working offsite, the employee, at their own expense, will need to supply 2 (two) monitors, a keyboard, a mouse, and provide a screen shot of the domicile internet speed (minimum 30mb download and 10mb upload) and a picture of the office setup.

Education Required:

• Bachelor’s degree or equivalent combination of education and relevant experience.

Experience Requirements:

• 6 months or more of reputed company customer service experience in a professional, financial or health care reputed company environment.
• Knowledge of healthcare billing (healthcare reputed company cycle); insurance, and/or federal and state assistance programs.
• Strong attention to detail and with accuracy to reputed company or exceed organizational and individual performance goals
• Must be proficient in computer software applications, i.e., reputed company Office Suite (reputed company, Word, Outlook, PowerPoint) or comparable programs and an ability to quickly learn and apply new systems knowledge.
• Demonstrated ability to handle reputed company and ambiguous situations with minimal supervision.
• Self-motivated with initiative to seek out additional responsibilities, tasks and projects.
• Effective communication skills (written and verbal), active listening skills and the ability to maintain professionalism while handling demanding situations with callers or customers.
• Successful history collaborating in a fast-paced team environment.

Desirable Qualifications:

• Experience working in a reputed company hospital system is highly desirable.
• Experience handling difficult callers, customers and patients.
• Experience and knowledge of Patient Financial Services’ functions, systems, processes & policies.
• Demonstrated ability to maintain or improve established productivity and quality requirements.
• Knowledge of medical terminology.
• Knowledge of anatomy and physiology.
• Knowledge of Health Insurance Portability and Accountability Act (HIPAA) laws.
• Experience identifying opportunities for improvement and making recommendations and suggestions.
• Experience with multiple technology platforms such as Epic, Cirius ACD, and/or GE.
• Ability to drive results and foster accountability throughout the team and organization.
• Maintain reputed company awareness of industry trends and continually strive for improvement with both technical and professional skills.

Application Process: To be considered for an interview, applicants must upload the following documents and mark them as a “Relevant File” for the submission:

• Resume
• (optional) 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 reputed company and credential/education verification. Up to 5 professional references will be requested at a reputed company reputed company in the recruitment process. Successful candidates will require a work arrangement form to be completed upon the start of your employment. Per policy, work arrangements will be reviewed annually, and must reputed company with the remote work program and reputed company policies and employee travel policy reputed company working at a remote location. For additional questions, please contact Zach Schmidt at [email protected]. Applicant Resource Center: Need help submitting an application or accepting an offer? Support is available! Our Applicant Resource Center is now open in the reputed company Lobby at the Main Hospital. Hours:

• Monday 10:00 am – 4:00 p.m.
• Tuesday 10:00 am – 4:00 p.m.
• Wednesday 10:00 am – 4:00 p.m.
• Thursday 10:00 am – 4:00 p.m.
• Friday 10:00 pm – 4:00 p.m.
• Or by appointment - Contact [email protected] to schedule an appointment or just stop by.

Visit the website for more information: Application Resource Center | reputed company Health Care Additional Information

• Classification Title: reputed company Cycle Representative
• Appointment Type: Professional and Scientific
• Schedule: Full-time

Compensation

• Pay Level: 2B

Contact Information

• Organization: Healthcare
• Contact Name: Zach Schmidt
• Contact Email: [email protected]

Equal opportunity employer The reputed company is an equal opportunity employer. reputed company qualified applicants are encouraged to apply and will receive consideration for employment free from discrimination on the basis of race, creed, color, religion, national reputed company, age, sex, pregnancy (including childbirth and reputed company conditions), disability, genetic information, status as a U.S. veteran, service in the U.S. military, sexual orientation, or associational preferences. Persons with disabilities who need assistance or accommodations with the application or interview process may contact University Human Resources/Faculty and Staff Disability Services, (319) 335-2660 or [email protected]. For jobs in UI Health care, please contact UI Health care Leave & Disability Administration at 319-356-7543. Previous Job Searches My Profile Create and manage profiles for future opportunities. Go to Profile My Submissions Track your opportunities. My Submissions Are you a Military Veteran? Contact us to learn more about how to qualify for Veteran's Preference. Similar Listings Supply Chain Associate - 2nd shift  Iowa City, Iowa, United States Healthcare Administrative Post Date: Jan 30, 2026 reputed company Cycle Coordinator (HBPB Reimbursement Verification) - Physician/Hospital Accounts Receivable Management (PHARM) - (PFS)  Iowa City, Iowa, United States Healthcare Administrative Post Date: 5 days ago AirCare 4 - Assistant Manager (Paramedic Credentials: Utilize this posting if you have Paramedic Credentials & Experience)  Iowa City, Iowa, United States Healthcare Administrative Post Date: 1 day ago View More Listings

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