Sr Collections Rep - PB Financial Services - FT Days

UCI Health is one of California’s largest academic health systems and the clinical enterprise of the University of California, Irvine. Established in 1976, UCI Health operates a 1,461-bed system including UCI Health — Orange, UCI Health — Irvine, four Community Network hospitals, and a growing network of ambulatory care centers across Orange and Los Angeles counties. As Orange County’s only academic health system, UCI Health is home to the county’s only National Cancer Institute-designated comprehensive cancer center, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, a Gold Level 1 Geriatric Emergency Department, and a nationally recognized regional burn center. Serving 5.6 million people, UCI Health delivers excellence in patient care, research, and medical education.

About the role

The Sr./Lead Collections Representative is an advanced-level position demonstrating competency in all duties performed by a Collections Representative. This role functions with limited supervision, independently managing and resolving complex, high-level accounts and transactions. The position serves as a lead and specialist, acting as a role model, resource, and coach to other staff while assisting with difficult accounts, troubleshooting, and providing guidance. May be assigned to specialized areas within PB Financial Services requiring advanced knowledge and will respond to inquiries from patients, physicians, payers, and attorneys regarding account status. Trains staff, assists supervisors in assessing competencies, and works on special projects as needed.

Responsibilities

• Manage and resolve complex, high-level accounts and transactions in a timely manner, taking appropriate billing, collections, or customer service actions.
• Serve as a lead and resource for staff, providing coaching, troubleshooting, and support on difficult accounts.
• Respond to inquiries from patients, physicians, payers, and attorneys regarding account status.
• Train staff and assist supervisors in assessing staff competencies.
• Work on special projects and other assignments as needed.
• Review and analyze patient accounts to effectively bill and/or collect revenue for professional medical services.
• Resolve routine and non-routine matters independently.
• Maintain a work pace appropriate to the workload and establish effective working relationships across the Health System.

Requirements

• Strong math skills to perform calculations related to patient accounting.
• Ability to analyze, think critically, and problem-solve.
• Minimum 5 years’ experience in collections in outpatient and hospital settings.
• Excellent written and verbal communication skills in English.
• Excellent understanding of capitation and commercial HMO.
• Demonstrated strong listening, collaboration, and team-orientation skills.
• Ability to achieve monthly productivity standards.
• Advanced knowledge of revenue cycle processes gained from previous healthcare experience.
• Advanced knowledge in medical professional fee billing, including Medi-Cal, Medicare, MSI, Champus, and commercial insurance carriers.
• Ability to review and analyze patient accounts to effectively bill and collect revenue.
• Exercise utmost discretion in managing sensitive information, including employee, student, and patient records, financial data, and strategic plans.
• Comply with organizational policies and laws on data protection and privacy.

Preferred Qualifications

• Prior experience as a lead.
• Knowledge of University and medical center organizations, policies, procedures, and forms.

Benefits

We offer a wealth of benefits to make working at UCI even more rewarding, including:

• Medical insurance
• Sick and vacation time
• Retirement savings plans
• Access to discounts and perks

Conditions of Employment

All applicants who accept an offer of employment must comply with the following conditions:

• Background Check and Live Scan
• Employment Misconduct Disclosure Requirement
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug-Free Environment
• Additional conditions may apply based on business unit or job-specific requirements, such as California Child Abuse and Neglect Reporting Act, E-Verify, or Pre-Placement Health Evaluation.