Revenue Cycle Representative (Hybrid)
Not Disclosed•Full-TimeHybrid
location_on10, South Gilbert Street, Iowa City, Johnson County, Iowa, 52240, United States
About the Role
The Pharmacy Prior Authorization Revenue Cycle Representative plays a vital role in supporting patients by securing insurance coverage for outpatient pharmacy medications. This position serves as a critical bridge between patients, providers, and payers, ensuring timely access to essential medications through benefits investigations, prior authorization support, and the identification of financial assistance options such as copay assistance and grant programs.
You will work closely with the broader health system staff to navigate complex billing practices and resolve claim denials. The role demands a high level of attention to detail and strong organizational skills to manage patient revenue, monitor reimbursement activities, and maintain compliance with accrediting agencies and payer regulations. Success in this role involves providing a high-quality customer service experience while troubleshooting billing discrepancies and collaborating with clinical pharmacy specialists on appeals.
Work Arrangement
This position offers a hybrid work model, combining remote and in-person duties within Iowa. Eligibility for the remote component requires a minimum of six months in the role, successful completion of all training, and a performance review meeting or exceeding expectations. A formal work arrangement form must be completed prior to the start of remote work. All work arrangements are reviewed annually and must comply with the organization's remote work program, related policies, and employee travel policy.
Application Process
To be considered for an interview, applicants must upload both a resume and a cover letter, marking them as a "Relevant File" during submission. Job openings remain posted for a minimum of 14 calendar days but may be filled at any time after the posting period ends. Successful candidates will be subject to a criminal background check, credential and education verification, and may be asked to provide up to five professional references.
For additional questions regarding this opportunity, please contact Teresa Walker at Teresa-Walker@uiowa.edu.
Work location
Work model: Hybrid
10, South Gilbert Street, Iowa City, Johnson County, Iowa, 52240, United States
Iowa City, Iowa
Key Responsibilities
- check_circlePerform benefits investigations and enroll patients into pharmacy services
- check_circleInitiate and follow through on required prior authorizations for medications
- check_circleResearch and assist patients with copay assistance and grant programs
- check_circleCommunicate with patients, insurance companies, and providers to resolve account inquiries
- check_circleAppeal and troubleshoot claim payments and denials using available resources
- check_circleMonitor reimbursement activity to ensure accurate compliance with payor rules
- check_circleCompile information for audits from compliance and insurance payors
- check_circleParticipate in orientation and training of pharmacy staff on billing practices
- check_circleResolve pharmacy billing discrepancies and identify trends for process improvement
- check_circle
Requirements
- verifiedBachelor's degree or equivalent combination of education and experience
- verifiedSuccessful completion of pharmacy technician certification exam within 12 months
- verifiedPrevious customer service experience
- verifiedProficiency with Microsoft Office Suite or comparable programs
- verifiedFamiliarity with medical terminology
Nice to Have
Experience working in a complex hospital system. Experience working in a collaborative team environment. Pharmacy experience. Knowledge of healthcare billing, experience working with insurance and/or federal and state assistance programs. Experience working with multiple technology platforms (i.e. Epic, GE). Knowledge and understanding of the Health Insurance Portability and Accountability Act (HIPAA). Professional experience working effectively with individuals from a variety of backgrounds and perspectives.
Similar Job Opportunities
Skills, education and keywords
Skills: Microsoft Office Suite, Word, Excel, Outlook, Powerpoint, Epic, Hipaa, Medical Terminology, Pharmacy Technician Certification Exam.
Education: Bachelor's degree or equivalent combination of education and experience.
Frequently asked questions about Revenue Cycle Representative (Hybrid) at University of Iowa Research
What does a Revenue Cycle Representative (Hybrid) at University of Iowa Research do?expand_more
In this Revenue Cycle Representative (Hybrid) at University of Iowa Research role, you will perform benefits investigations and enroll patients into pharmacy services; initiate and follow through on required prior authorizations for medications; research and assist patients with copay assistance and grant programs; and communicate with patients, insurance companies, and providers to resolve account inquiries.
What are the requirements for this Revenue Cycle Representative (Hybrid) role?expand_more
To qualify for the Revenue Cycle Representative (Hybrid) at University of Iowa Research position, applicants should have: Bachelor's degree or equivalent combination of education and experience; Successful completion of pharmacy technician certification exam within 12 months; Previous customer service experience; Proficiency with Microsoft Office Suite or comparable programs; and Familiarity with medical terminology.
Where is the Revenue Cycle Representative (Hybrid) role at University of Iowa Research located?expand_more
Revenue Cycle Representative (Hybrid) at University of Iowa Research is based in 10, South Gilbert Street, Iowa City, Johnson County, Iowa, 52240, United States. This is a hybrid role.
Is this Revenue Cycle Representative (Hybrid) job remote, hybrid, or on-site?expand_more
University of Iowa Research has listed this Revenue Cycle Representative (Hybrid) role as hybrid.
How much experience is required for this Revenue Cycle Representative (Hybrid) role?expand_more
Candidates for Revenue Cycle Representative (Hybrid) at University of Iowa Research should have mid level.
What skills do you need for the Revenue Cycle Representative (Hybrid) role at University of Iowa Research?expand_more
Key skills for Revenue Cycle Representative (Hybrid) at University of Iowa Research include Microsoft Office Suite; Word; Excel; Outlook; Powerpoint; Epic; Hipaa; and Medical Terminology.
What education is required for Revenue Cycle Representative (Hybrid) at University of Iowa Research?expand_more
Educational requirements for this role: Bachelor's degree or equivalent combination of education and experience.
What category does the Revenue Cycle Representative (Hybrid) role belong to?expand_more
Revenue Cycle Representative (Hybrid) at University of Iowa Research is part of the healthcare & nursing job category on Recrutus.
About University of Iowa Research
University of Iowa Research operates as a central hub for scientific inquiry and innovation within the Research Services industry, based in Iowa City, Iowa. Led by the Office of the Vice President for Research, the organization provides essential resources and administrative support to faculty, researchers, and innovators across the University of Iowa campus. Its primary mission involves facilitating new frontiers of discovery while fostering a creative environment that benefits the local community, the state of Iowa, and the global scientific landscape.
The entity manages and oversees various research initiatives, including the University of Iowa Research Foundation. This foundation serves as a key component of the broader research ecosystem, helping to translate academic discoveries into tangible outcomes. The organization supports a wide range of disciplines by connecting scholars with the necessary tools to advance their work. By maintaining a robust infrastructure for research activities, University of Iowa Research plays a vital role in sustaining the university's reputation for academic excellence and contributing to regional economic growth through innovation and knowledge creation.
Browse more roles: All University of Iowa Research jobs, healthcare & nursing jobs on Recrutus.