Billing Representative Jobs in Iowa
Billing Representative jobs in Iowa are actively posted across healthcare, insurance, and financial services sectors, with openings at every level from entry-level accounts receivable clerks to senior patient billing specialists. The heaviest hiring concentrates in Des Moines, Cedar Rapids, and Iowa City, where large employers like UnityPoint Health, Wellmark Blue Cross Blue Shield, and University of Iowa Health Care maintain ongoing billing operations. Medical billing, insurance claims processing, and revenue cycle work are the most in-demand specialties across the state. Find a role that fits below and apply directly.
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University of Iowa Health Care’s department of Patient Financial Services is seeking a Revenue Cycle Representative (RCR) for an entry-level financial services position in the healthcare industry and within the department of Patient Billing Services (PBS).
The PBS RCR will work in a fast paced, high pressure and high-volume incoming call environment, outbound call environment, and face-to-face environment when financially counseling patients related to patient billing. RCR’s will financially counsel patients as it applies to their healthcare accounts, provide patient estimates, collect appropriate self-pay balances, establish payment arrangements, and counsel patients on financial assistance. Resolve customer, staff, and public inquiries, and take appropriate follow-up action. Provide consistent and comprehensive information in writing, and verbally to patients, outside agencies and various administrative and management personnel regarding all third parties, patient billing and financial counseling activities. The PBS RCR must have the ability to exhibit compassion and empathy when working directly with patients and/or their families. In addition, this person must have an ability to prioritize and coordinate inquiries and concerns of patients, staff, administration and public in a varied professional and patient population.
This position is primarily a combination of remote and onsite (hybrid) work locations. Remote work must be performed at an offsite location within the State of Iowa. Training will be held ONSITE at the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Successful candidates must comply with requirements of the remote work program and related policies.
The 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 aim to achieve and deliver our personal and collective best in the pursuit of quality and accessible healthcare, education, and research.
- Collaboration - We encourage collaboration with healthcare 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:
- Analyze and verify patient demographic, insurance eligibility and financial information/responsibility for accurate claim submission and reimbursement.
- Resolve patient billing account concerns in order to obtain appropriate reimbursement and patient satisfaction in partnership with PFS management, Iowa Health Care Patient Representatives and Iowa Health Care Clinical Teams.
- Provide financial counseling to patients and families to ensure they are advised of their financial obligations, with appropriate financial arrangements made according to the hospital’s financial policy.
- Initiate action regarding the management and adjudication of patient account billing and all other customer concerns and inquiries.
- Document, correct and assure the accurate information is in the patient billing system.
- Take payments, establish payment arrangements, counsel, and coordinate available financial assistance with patient as necessary.
- Verify eligibility of benefits, patient liability and non-covered exceptions; confirm all steps necessary have been taken to adjudicate claims and billing while providing outstanding customer service.
- Resolves statement edits to ensure correct and timely billing occurs.
- Contacts appropriate third-party payers in order to verify eligibility of benefits, patient liability, non-covered exceptions.
- Be expected to maintain a high-level of accuracy to meet productivity and quality requirements.
- Communicate with providers, payers, patients, internal departments, co-workers, and Coordinator’s to resolve issues.
- Maintain extensive knowledge and expertise based around payer regulations/policies, financial classifications, and financial assistance programs.
- Build and maintain solid working relationships with clinical staff, referral sources, insurance companies, medical providers and public.
Classification Title: Revenue Cycle Representative (Patient Billing Services)
Department: Patient Financial Services (SPARC)
Pay Grade: 2B
Schedule: Monday - Friday, 0800 - 1700
Percent of Time: 100%
Location: Hospital Support Services Building (HSSB) located in Coralville, IA
This position is primarily a combination of remote and onsite (hybrid) work locations. Remote work must be performed at an offsite location within the State of Iowa. Training will be held ONSITE at the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Successful candidates must comply with requirements of the remote work program and related policies.
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 found 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. When working offsite, the employee will take their laptop/power cord to carry back and forth, a second docking station/power cord to keep offsite. Prior to working offsite, the employee, at their own expense, will need to supply 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 a laptop/power cord, docking station/power cord, headset. Prior to working offsite and at their own expense, the employee will be required to obtain or possess 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.
Education Requirement:
- Bachelor’s degree or equivalent combination of education and relevant experience.
Required Qualifications:
- 6 months or more of related customer service experience in a professional, financial or health care related environment.
- Strong attention to detail and proven ability to gather and analyze data and keep accurate records.
- Proficiency with computer software applications, i.e. Microsoft Office Suite (Excel, Word, Outlook, PowerPoint) or comparable programs and an ability to quickly learn and apply new systems knowledge.
- Demonstrated ability to handle complex 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 difficult situations with callers or customers.
- Successful history collaborating in a fast-paced team environment.
Desirable Qualifications:
- Demonstrated ability to maintain or improve established productivity and quality requirements.
- Familiarity with medical terminology.
- Knowledge of Health Insurance Portability and Accountability Act (HIPAA) laws.
- Knowledge of healthcare billing (healthcare revenue cycle); insurance, and/or federal and state assistance programs
- 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 current awareness of industry trends and continually strive for improvement with both technical and professional skills.
- Bi-lingual skills in a foreign language (Spanish and/or French highly preferred).
Application Process: In order 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
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 5 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!
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
- Classification Title: Revenue Cycle Representative
- Appointment Type: Professional and Scientific
- Schedule: Full-time
- Work Modality Options: Hybrid within Iowa
- Pay Level: 2B
- Organization: Healthcare
- Contact Name: Zach Schmidt
- Contact Email: zachary-e-schmidt@uiowa.edu
University of Iowa Health Care’s department of Patient Financial Services is seeking a Revenue Cycle Representative (RCR) for an entry-level financial services position in the healthcare industry and within the department of Patient Billing Services (PBS).
The PBS RCR will work in a fast paced, high pressure and high-volume incoming call environment, outbound call environment, and face-to-face environment when financially counseling patients related to patient billing. RCR’s will financially counsel patients as it applies to their healthcare accounts, provide patient estimates, collect appropriate self-pay balances, establish payment arrangements, and counsel patients on financial assistance. Resolve customer, staff, and public inquiries, and take appropriate follow-up action. Provide consistent and comprehensive information in writing, and verbally to patients, outside agencies and various administrative and management personnel regarding all third parties, patient billing and financial counseling activities. The PBS RCR must have the ability to exhibit compassion and empathy when working directly with patients and/or their families. In addition, this person must have an ability to prioritize and coordinate inquiries and concerns of patients, staff, administration and public in a varied professional and patient population.
This position is primarily a combination of remote and onsite (hybrid) work locations. Remote work must be performed at an offsite location within the State of Iowa. Training will be held ONSITE at the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Successful candidates must comply with requirements of the remote work program and related policies.
The 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 aim to achieve and deliver our personal and collective best in the pursuit of quality and accessible healthcare, education, and research.
- Collaboration - We encourage collaboration with healthcare 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:
- Analyze and verify patient demographic, insurance eligibility and financial information/responsibility for accurate claim submission and reimbursement.
- Resolve patient billing account concerns in order to obtain appropriate reimbursement and patient satisfaction in partnership with PFS management, Iowa Health Care Patient Representatives and Iowa Health Care Clinical Teams.
- Provide financial counseling to patients and families to ensure they are advised of their financial obligations, with appropriate financial arrangements made according to the hospital’s financial policy.
- Initiate action regarding the management and adjudication of patient account billing and all other customer concerns and inquiries.
- Document, correct and assure the accurate information is in the patient billing system.
- Take payments, establish payment arrangements, counsel, and coordinate available financial assistance with patient as necessary.
- Verify eligibility of benefits, patient liability and non-covered exceptions; confirm all steps necessary have been taken to adjudicate claims and billing while providing outstanding customer service.
- Resolves statement edits to ensure correct and timely billing occurs.
- Contacts appropriate third-party payers in order to verify eligibility of benefits, patient liability, non-covered exceptions.
- Be expected to maintain a high-level of accuracy to meet productivity and quality requirements.
- Communicate with providers, payers, patients, internal departments, co-workers, and Coordinator’s to resolve issues.
- Maintain extensive knowledge and expertise based around payer regulations/policies, financial classifications, and financial assistance programs.
- Build and maintain solid working relationships with clinical staff, referral sources, insurance companies, medical providers and public.
Classification Title: Revenue Cycle Representative (Patient Billing Services)
Department: Patient Financial Services (SPARC)
Pay Grade: 2B
Schedule: Monday - Friday, 0800 - 1700
Percent of Time: 100%
Location: Hospital Support Services Building (HSSB) located in Coralville, IA
This position is primarily a combination of remote and onsite (hybrid) work locations. Remote work must be performed at an offsite location within the State of Iowa. Training will be held ONSITE at the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon a satisfactory job training opportunity. Successful candidates must comply with requirements of the remote work program and related policies.
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 found 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. When working offsite, the employee will take their laptop/power cord to carry back and forth, a second docking station/power cord to keep offsite. Prior to working offsite, the employee, at their own expense, will need to supply 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 a laptop/power cord, docking station/power cord, headset. Prior to working offsite and at their own expense, the employee will be required to obtain or possess 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.
Education Requirement:
- Bachelor’s degree or equivalent combination of education and relevant experience.
Required Qualifications:
- 6 months or more of related customer service experience in a professional, financial or health care related environment.
- Strong attention to detail and proven ability to gather and analyze data and keep accurate records.
- Proficiency with computer software applications, i.e. Microsoft Office Suite (Excel, Word, Outlook, PowerPoint) or comparable programs and an ability to quickly learn and apply new systems knowledge.
- Demonstrated ability to handle complex 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 difficult situations with callers or customers.
- Successful history collaborating in a fast-paced team environment.
Desirable Qualifications:
- Demonstrated ability to maintain or improve established productivity and quality requirements.
- Familiarity with medical terminology.
- Knowledge of Health Insurance Portability and Accountability Act (HIPAA) laws.
- Knowledge of healthcare billing (healthcare revenue cycle); insurance, and/or federal and state assistance programs
- 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 current awareness of industry trends and continually strive for improvement with both technical and professional skills.
- Bi-lingual skills in a foreign language (Spanish and/or French highly preferred).
Application Process: In order 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
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 5 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!
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
- Classification Title: Revenue Cycle Representative
- Appointment Type: Professional and Scientific
- Schedule: Full-time
- Work Modality Options: Hybrid within Iowa
- Pay Level: 2B
- Organization: Healthcare
- Contact Name: Zach Schmidt
- Contact Email: zachary-e-schmidt@uiowa.edu
See All 10 Billing Representative Jobs in Iowa
Find roles in Iowa that match your experience and apply in just a few clicks.
Find Billing Representative JobsBilling Representative Jobs by City in Iowa
Where Iowa roles are concentrated, by current openings.
Billing Representative Job Market in Iowa
A snapshot from current Iowa openings, updated as new roles post.
Who's Hiring
What Iowa Employers Look For
The qualifications that appear most often in billing representative jobs across Iowa.
- Knowledge of ICD-10 and CPT coding systems used in Iowa healthcare billing
- Experience with electronic health record or billing software such as Epic or Meditech
- High school diploma or equivalent with coursework in accounting or medical billing
- Ability to verify insurance eligibility and process claims through payer portals
- Strong attention to detail when reviewing and reconciling patient or client accounts
- Familiarity with HIPAA compliance standards relevant to Iowa healthcare billing environments
Billing Representative Jobs in Iowa: Frequently Asked Questions
How do you become a billing representative in Iowa?
Most billing representative positions in Iowa require a high school diploma and on-the-job training, though a certificate in medical billing and coding from an Iowa community college, such as Des Moines Area Community College or Kirkwood Community College, strengthens your candidacy. Iowa does not require a state-issued license for billing representatives, but earning a Certified Professional Biller credential through the American Academy of Professional Coders is widely recognized by Iowa employers, particularly in healthcare.
Which companies hire billing representatives in Iowa?
Companies currently hiring billing representatives in Iowa include AGRILAND FS, Trinity Health, and The University of Iowa, per current listings on Migrate Mate as of September 2026. Iowa's large integrated health systems and regional insurance carriers drive much of the consistent, year-round demand for billing professionals across the state.
Which Iowa cities have the most billing representative jobs?
Davenport, Iowa City, and Winterset have the most billing representative openings in Iowa. Des Moines leads because it anchors the state's insurance industry and major health system headquarters, while Cedar Rapids and Iowa City draw substantial openings from regional hospital networks and university health operations that require dedicated billing and revenue cycle teams.
Are there remote billing representative jobs in Iowa?
Yes, and more than many office roles, because billing work is largely computer-based and does not require a physical presence. About 60% of billing representative openings tied to Iowa are remote or hybrid as of September 2026, reflecting how well the role adapts to distributed teams. Insurance claims processing and medical billing are the sub-specialties most frequently offered on a remote or hybrid basis by Iowa employers.
How can I get hired as a billing representative in Iowa with little or no experience?
The most realistic entry path is applying for accounts receivable or patient access representative roles at Iowa health systems, which regularly hire candidates without prior billing experience and provide internal training on billing software and payer processes. UnityPoint Health and MercyOne operate structured onboarding programs for entry-level revenue cycle staff. Completing a short medical billing certificate at a community college and gaining familiarity with Epic software gives applicants a meaningful edge over other entry-level candidates in Iowa's healthcare-heavy market.
Where can I find and apply to billing representative jobs in Iowa?
You can find and apply to billing representative jobs in Iowa on Migrate Mate, which lists current Iowa openings from employers across the state. Find roles that fit your experience and location, then apply directly to the employers posting them.
See All 10 Billing Representative Jobs in Iowa
Find roles in Iowa that match your experience and apply in just a few clicks.
Find Billing Representative Jobs