Job Description

Revenue Cycle Representative (Payment Posting) - Training, Operations, & Administrative Support Team (TOAST) - Patient Financial - (26005645)

Description

University of Iowa Health Care's department of Patient Financial Services (PFS) is seeking a Payment Posting, Processing, and Imaging (PPI) Revenue Cycle Representative (RCR) within the Training, Operations, and Administrative Support (TOAST) division to support revenue cycle operations through the accurate posting, processing, reconciliation, and management of financial transactions and related documentation. Serving as a key member of the PPI team, this position is responsible for ensuring payments, adjustments, correspondence, and other financial information are processed timely and accurately to support organizational financial performance and revenue cycle integrity. The position collaborates with internal departments, payers, financial institutions, and other stakeholders to resolve discrepancies, maintain accurate records, and support operational efficiency. The position applies established tools, technology, and processes to independently analyze and resolve complex financial and account-related issues while demonstrating sound judgment, professionalism, integrity, and a commitment to UI Health Care's Service Excellence standards. Through these efforts, the RCR contributes to accurate financial reporting, effective cash management, and the overall success of the revenue cycle.This position is eligible for a hybrid work arrangement, consisting of both onsite and remote work. Remote work must be performed from an approved offsite location within the State of Iowa. Initial training will be conducted either onsite at the Health Support Services Building (HSSB) or virtually, with the format, location, and duration determined by PFS Leadership. Eligibility for remote work will be assessed upon successful completion of training and demonstration of satisfactory job performance. In accordance with University policy, work arrangements are subject to annual review and must comply with the Remote Work Program, applicable departmental policies, and employee travel requirements when working from 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.®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 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. Position Responsibilities: Process, reconcile, and apply payments, adjustments, denials, contractual discounts, and other financial transactions to patient accounts in accordance with established policies, procedures, and revenue cycle standards.Review, analyze, and resolve payment, account, and reconciliation discrepancies by researching remittance advice, payer correspondence, financial records, and system documentation to ensure accuracy and completeness of patient accounting records.Utilize document management, imaging, and revenue cycle systems to process, maintain, and retrieve correspondence, remittance documentation, and financial records in support of operational and regulatory requirements.Collaborate with payers, financial institutions, internal departments, and team members to investigate issues, obtain necessary information, and facilitate timely resolution of account, payment, and reconciliation inquiries.Perform reconciliation activities related to payments, deposits, files, clearing accounts, and other financial transactions to ensure accurate cash posting and financial record integrity.Monitor assigned work queues, reports, and performance metrics to ensure timely completion of responsibilities, adherence to productivity and quality standards, and support of month-end, year-end, and other operational deadlines.Analyze trends, identify process improvement opportunities, and provide feedback or reporting to leadership to support operational efficiency, accuracy, and revenue cycle performance.Maintain current knowledge of departmental procedures, system functionality, healthcare revenue cycle practices, and applicable regulatory requirements while demonstrating professionalism, sound judgment, integrity, and a commitment to UI Health Care's Service Excellence standards.Maintain the confidentiality of all patient, financial, employee, and organizational information in accordance with applicable laws, regulations, and UI Health Care policies. Classification Title: Revenue Cycle Representative (Payment Posting)Department: Patient Financial Services (TOAST)Pay Grade: 2BSchedule: Monday - Friday with hours between 8:00am - 5:00pmPercent of Time: 100%Location: Hospital Support Services Buildings (HSSB) in Coralville, IAEquipment: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.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. When working offsite, the employee will carry their laptop/power cord back and forth. A second docking station/power cord can be provided for the offsite location. Prior to working offsite, the employee, at their own expense, will be required to have 2 (two) monitors, in addition to the university-issued laptop, which will serve as a third monitor due to its built-in camera function, a keyboard, and a mouse. Employees will be required to provide a photo of the domicile office setup and perform an internet speed test by visiting https://www.speedtest.net/ with a minimum 30mb download and 10mb upload reflecting a University of Iowa IP address, then providing a screenshot of the speed test to HR. The employee’s remote workstation should replicate the onsite setup as if they were working onsite at HSSB.Remote - When working offsite, the department will provide the employee with a laptop/power cord, docking station/power cord, headset. Prior to working offsite, the employee, at their own expense, will be required to have 2 (two) monitors, in addition to the university-issued laptop, which will serve as a third monitor due to its built-in camera function, a keyboard, and a mouse. Employees will be required to provide a photo of the domicile office setup and perform an internet speed test by visiting https://www.speedtest.net/ with a minimum 30mb download and 10mb upload reflecting a University of Iowa IP address, then providing a screenshot of the speed test to HR. The employee’s remote workstation should replicate the onsite setup as if they were working onsite at HSSB.

Qualifications

Education Required:Bachelor’s degree or equivalent combination of education and relevant experience. Required Qualifications: One year or more of experience in a professional, financial, healthcare, revenue cycle, accounting, banking, or related administrative environment.Strong attention to detail with demonstrated ability to analyze information, identify discrepancies, maintain accurate records, and ensure data integrity.Proven critical thinking and problem-solving skills with the ability to independently research, evaluate, and resolve complex account and financial transaction issues.Proficiency with Microsoft Office applications, including Excel, Word, and Outlook, and the ability to quickly learn and apply new systems and technologies.Demonstrated ability to prioritize workload, manage multiple responsibilities, meet deadlines, and adapt to changing operational needs with minimal supervision.Strong verbal and written communication skills and the ability to effectively collaborate with internal and external stakeholders in a professional environment.Demonstrated professionalism, initiative, and commitment to quality, accuracy, and customer service excellence.Desirable Qualifications:Experience in healthcare revenue cycle operations, payment posting, bank reconciliation, patient accounting, billing, insurance follow-up, or related financial operations.Knowledge of healthcare billing, payer remittance processes, Explanation of Benefits (EOBs), denials, adjustments, overpayments, and revenue cycle workflows.Experience researching and resolving financial transaction discrepancies, reconciliations, or account variances.Experience maintaining productivity and quality standards in a high-volume work environment.Knowledge of medical terminology, HIPAA regulations, and healthcare privacy requirements.Experience using Epic, OnBase, or other electronic health record, patient accounting, or document management systems.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 LetterJob openings are posted for a minimum of seven 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 check and credential/education verification. Up to five professional references will be requested at a later step 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 comply with the remote work program and related policies and employee travel policy when working at a remote location.For additional questions, please contact Zach Schmidt at zachary-e-schmidt@uiowa.edu.Applicant Resource Center: Need help applying or accepting an offer? Support is available!Our Applicant Resource Center is now open in the Fountain 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 am – 4:00 p.m.Or by appointment - Contact TAHealthCareSupport@healthcare.uiowa.edu to schedule an appointment or just stop by.Visit the website for more information: Application Resource Center | University of Iowa Health Care

Primary Location

: Iowa City

Job

: Administrative/Professional

Organization

: Healthcare

Schedule

: Regular

Full-time

Travel

: No

Job Posting

: Oct 13, 2026, 5:07:59 PM