Job Description

Revenue Cycle Representative (Provider Enrollment) - Training, Operations, and Administrative Support (TOAST) - Patient Financial Services (PFS) - (26006059)

Description

University of Iowa Health Care’s department of Patient Financial Services is seeking a Provider Enrollment Revenue Cycle Representative (RCR) within the Training, Operations, and Administrative Support (TOAST) division to support revenue cycle operations through the coordination, maintenance, and management of provider enrollment activities with Medicare and Medicaid programs. Serving as a key member of the Provider Enrollment team, this position is responsible for coordinating provider enrollment processes, maintaining accurate enrollment records, and ensuring compliance with payer and regulatory requirements. The position collaborates with providers, government payer representatives, and internal stakeholders to facilitate enrollment activities, resolve complex issues, and support uninterrupted billing and reimbursement. The position applies established tools, technology, and operational knowledge to independently analyze and resolve enrollment-related matters while demonstrating sound judgment, professionalism, integrity, and a commitment to UI Health Care's Service Excellence standards. Through these efforts, the Provider Enrollment RCR contributes to the financial success of the organization, regulatory compliance, and the integrity 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:Coordinate and manage provider enrollment activities for Medicare, Railroad Medicare, Iowa Medicaid, and other assigned payer programs, including initial enrollments, updates, revalidations, reassignments, terminations, acquisitions, and practice relocations.Maintain accurate provider records within enrollment databases, payer systems, the NPI Registry, and other organizational applications to ensure compliance with payer requirements and support uninterrupted billing and reimbursement.Prepare, submit, track, and maintain enrollment applications and supporting documentation; proactively monitor enrollment status and resolve issues that may impact provider participation or claims processing.Review, investigate, and resolve provider enrollment-related claim edits, denials, enrollment discrepancies, and reimbursement issues through collaboration with providers, payer representatives, vendors, and internal stakeholders.Coordinate enrollment activities with providers, clinical departments, the Clinical Staff Office, Patient Financial Services leadership and staff, external vendors, and payer contacts to obtain required information and facilitate successful enrollment outcomes.Maintain and audit enrollment-related records, reports, work queues, and vendor activities to ensure accuracy, completeness, regulatory compliance, and adherence to departmental quality standards.Develop, maintain, and distribute provider enrollment resources, documentation, and communications to support operational consistency and compliance with payer and organizational requirements.Monitor incoming correspondence, email communications, and enrollment notifications, ensuring timely review, response, and processing of enrollment-related requests and updates.Analyze trends, identify process improvement opportunities, and provide recommendations to leadership to enhance operational efficiency, enrollment accuracy, compliance, and revenue cycle performance.Support departmental initiatives and special projects while maintaining a high level of accuracy, productivity, professionalism, and commitment to UI Health Care's Service Excellence standards.Maintain the confidentiality of provider, patient, employee, financial, and organizational information in accordance with applicable laws, regulations, and UI Health Care policies.Classification Title: Revenue Cycle Representative (Provider Enrollment)Department: Patient Financial ServicesPay Grade: 2BSchedule: Monday - Friday, 0800-1700Percent of Time: 100%Location: Hospital Support Services Building (HSSB)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.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 experience. Required Qualifications:One year or more of experience in a professional, healthcare, revenue cycle, provider enrollment, credentialing, insurance, compliance, or related administrative environment.Strong attention to detail with demonstrated ability to analyze information, maintain accurate records, identify discrepancies, and ensure data integrity across multiple systems and databases.Proven critical thinking and problem-solving skills with the ability to research, interpret, and resolve complex enrollment, billing, or payer-related issues with minimal supervision.Proficiency with Microsoft Office applications, including Excel, Word, Outlook, and Teams, and the ability to quickly learn and apply new software applications and payer systems.Demonstrated ability to prioritize work, manage multiple deadlines, and adapt to changing operational needs while maintaining a high level of accuracy and productivity.Strong verbal, written, and interpersonal communication skills with the ability to effectively collaborate with providers, leadership, payers, vendors, and internal stakeholders.Demonstrated professionalism, initiative, sound judgment, and commitment to providing high-quality customer service and support in a complex healthcare environment.Desirable Qualifications:Experience with provider enrollment, credentialing, payer contracting support, provider data management, or related healthcare administrative functions.Knowledge of Medicare, Medicaid, National Provider Identifier (NPI) requirements, provider enrollment regulations, and provider enrollment processes.Knowledge of healthcare revenue cycle operations, medical billing, insurance reimbursement, and claims processing.Experience researching and resolving payer enrollment issues, claim denials, reimbursement delays, or provider data discrepancies.Experience maintaining productivity and quality standards in a high-volume, deadline-driven environment.Knowledge of medical terminology, HIPAA requirements, and healthcare regulatory standards.Experience using Epic, CredentialStream, payer portals, or other healthcare enrollment, credentialing, and patient accounting systems.Knowledge of Patient Financial Services operations, workflows, and healthcare reimbursement practices.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 submitting an application or accepting an offer? Support is available!Contact TAHealthCareSupport@healthcare.uiowa.edu to schedule an appointment.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

: Nov 5, 2026, 10:54:12 PM