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General Information

Job Name
Senior Collections Representative
Department
8530010 - PATIENT FINANCIAL SERVICES SFHEA
Position type
Full Time
Workplace
Flexible 1 Day On-Site
Primary Location
Emeryville, CA, United States
Job ID
1458

Description & Requirements

Job Description

Follow Up Collection Representative is responsible for collections and resolution of all inpatient and outpatient accounts with commercial insurance balances across various work queues. Follow up  Representatives conduct proactive follow up with payors regarding nonpayment, underpayments or incorrect payments in a stratified manner, calculates expected reimbursement and recommends legal assignment when needed. Follow up Collection Representatives reconcile the accounts to closure and work inpatient and outpatient accounts.

Follow Up Collections Representatives utilize multiple databases and applications to analyze and take appropriate action on information or documents received.  Applications and Databases consist of:  Epic System, Cirius Billing System, Revenue Cycle Pro and Multiple Payor Websites. There is frequent contact with insurance company representatives, hospital and clinical departments.

Qualifications
Requirements: -HS Diploma or GED -Two or more years of experience working in hospital billing office environment. -Excellent of hospital billing and collections, including skillset 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 of computer operation to include MS Office, keyboard functions, calculator, copier and fax machine operation. -Proactive and assertive account resolution skills. -Must be a motivated individual with a positive and exceptional work ethic. -Ability to follow directions and written procedures. High attention to detail is essential. -Ability to balance assertiveness with compassion for the patient and others. -Must be able to work onsite in our Emeryville office with the possibility of working remote 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. We bring together the world’s leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.
Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as https://www.ucsf.edu/about/mission-and-values . In addition to , UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available https://diversity.ucsf.edu/ . Join us to find a rewarding career contributing to improving healthcare worldwide.
EEO Statement
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.

Additional Details

Job Code
COLL REPR SR (004621)
Assignment Category
Career
IAP Level
Staff Plan (target potential payout of $900, maximum of $1,800)
Job Family
Finance
Campus 1
TBD
Percentage (%)
100
Shift Length
8 hours
Shift Type
Day
Bargaining Unit
CX
Additional Shift Details
Monday-Friday
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