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General Information

Job Name
Senior Collections Representative
Department
8530200 - MED GROUP BUSINESS SVC SFHEA
Position type
Full Time
Workplace
Flexible 1 Day On-Site
Primary Location
Emeryville, CA, United States
Job ID
1852

Description & Requirements

Job Description

The Payment Posting Unit is responsible and accountable for the accurate and timely posting of insurance and patient payments.  The unit is responsible for analyzing and resolving credit balances.  The unit also assists in tracing payments, tracking, and reconciling deposits.  It is the unit’s responsibility to communicate throughout the UCSF Medical Center departments, including the various UCSF billing agents, to resolve issues involving the accounts receivable of professional services.

Within this unit, the Payment Posting Lead is responsible for the accurate posting of payments and deposit reconciliation through constant communication with MGBS staff, UCSF departments, and various billing agencies.  The incumbent will also assist the Payment Posting Manager in specific tasks, training, and special projects.  The incumbent demonstrates the ability to perform all aspects of payment posting with superior quality.  The incumbent will conform to all UCSF, MGBS, government, and HIPAA policies and procedures.

Department Description
Medical Group Business Services (MGBS) is responsible for the professional fee billing and collections for approximately 30 divisions in the School of Medicine.? MGBS collects approximately $1B annually, and takes ownership for continuing to find ways for the Divisions to ensure charges are captured and increase payments.
Qualifications
Required Qualifications - High school graduate or GED certificate - Two or more years of experience working in a cash posting environment and/or remittance processing environment. - Two or more years of experience in billing or related healthcare experience. - Must have an advanced understanding of Insurance Explanation of Benefits or Remittance Advice terminology - Ability to determine correct payment and denial amounts before posting. - Advanced keyboard skills and calculator skills. - Ability to work independently. - Knowledge of the mandated HIPAA regulations for security, PHI, and confidentiality is an essential requirement for this position - Good organizational, interpersonal, verbal, and written communication skills. - The ability to work in Emeryville when required. - Ability to work in a changing environment and handle multiple tasks efficiently Preferred Qualifications - Banking or Accounting background. - Knowledge of contracts, insurance billing requirements, 1500 claim forms, workers’ compensation, regulations - Knowledge of CPT and ICD-9, ICD.10 Coding. - Solid understanding of the billing requirements of each major payor. - Medical terminology experience. - Knowledge of patient accounting
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
M-F 40 hours a week
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