Revenue Cycle Representative; Prior Authorization - Patient Access Management; PAM - Patient

Revenue Cycle Representative (Prior Authorization) - Patient Access Management (PAM) - Patient Financial Services (PFS)

University of Iowa Health Care department of Patient Financial Services is seeking a Prior Authorization Revenue Cycle Representative (RCR) to join our team. 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 empathy when 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 within the state of Iowa and applicants who wish to work remotely will be considered. Training will be held either ONSITE or via ZOOM 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 comply with the remote work program and related policies and employee travel policy when working at a remote location.

University of Iowa 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, students, 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.®

• 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 all to thrive in their health, work, research, and education.
• Excellence - We achieve 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 within our UI community. We believe teamwork—guided by compassion—is the best way to work.
• Accountability - We behave ethically, act with fairness and integrity, take responsibility for our own actions, and respond when 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 all 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.

• 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…