Senior Collections Representative

About the role

The primary responsibility of a Follow Up Collection Representative is to collect and resolve accounts with commercial insurance balances across various work queues. This includes conducting proactive follow-up with payors regarding non-payment, underpayment, or incorrect payments, calculating expected reimbursement, and recommending legal assignment when necessary. The representative also reconciles accounts to closure and works on inpatient and outpatient accounts. Utilizing multiple databases and applications such as Epic System, Cirius Billing System, Revenue Cycle Pro, and multiple payor websites, they analyze and take appropriate action on information or documents received.

Responsibilities

• Conduct proactive follow-up with payors regarding non-payment, underpayment, or incorrect payments in a stratified manner.
• Calculate expected reimbursement and recommend legal assignment when needed.
• Reconcile accounts to closure and work on inpatient and outpatient accounts.
• Analyze and take appropriate action on information or documents received using multiple databases and applications.
• Utilize multiple databases and applications such as Epic System, Cirius Billing System, Revenue Cycle Pro, and multiple payor websites.
• Frequent contact with insurance company representatives, hospital, and clinical departments.

Requirements

• High School Diploma or GED
• Two or more years of experience working in a hospital billing office environment
• Excellent knowledge of hospital billing and collections, including skills for billing and collections of packaged claims, stop losses, per diems, carve-outs, and other contract terms and conditions, and CPT, ICD, DRG, and HCPC codes
• Understanding of professional fees
• Strong analytical and organizational skills, interpersonal, verbal, and written communication skills
• Excellent computer operation including MS Office, keyboard functions, calculator, copier, and fax machine operation
• Proactive and assertive account resolution skills
• Motivated individual with a positive and exceptional work ethic
• Able to follow directions and written procedures
• High attention to detail is essential
• Able to balance assertiveness with compassion for the patient and others
• Able to work onsite in our Emeryville office with the possibility of working remotely from time to time

Preferences

• Medical terminology experience
• ICD, CPT4, HCPCS, DRG coding experience
• Understanding of HIPAA rules and regulations

About UCSF

The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. UCSF is home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging, and stem cells. UCSF is committed to equity in both care delivery and its workforce. It seeks to build a broadly diverse community, foster a culture that is welcoming and supportive, and engage diverse ideas for the provision of culturally competent education, discovery, and patient care. For more information about UCSF, including total compensation, please visit: here.

Equal Employment Opportunity

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Salary Information: The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.