Senior Collections Representative - Government Unit

Patient Financial Services

Full Time

77489BR

Job Summary

The Senior Collections Representative (Rep.) - Government Unit is responsible for collections, conducting proactive follow-up with payers regarding non-payments, underpayments, or incorrect payments in a stratified manner.  The Rep. handles the following:

• Calculates expected reimbursement to verify expected payments versus actual payments received including filing disputes with payers for denials and/or underpayments
• Reconciles the accounts to closure.  

The Rep. must be knowledgeable of assigned payer claim requirements and regulations.  Other duties include utilizing multiple databases and applications to analyze and take appropriate action on information or documents received.  Applications and Databases such as: EPIC, Hospital Rates, CIRIUS, RevCyclePro, Imaging, DDE, and various payer websites.  Frequent contact with Patient Financial Services staff, departments, and management, as well as patients, billing, and professional fee and collection services vendors.

The final salary and offer components are subject to additional approvals based on UC policy.  To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search (https://tcs.ucop.edu/non-academic-titles)   Please note: An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role.  For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range.  To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

Required Qualifications

• High school diploma or GED
• Two or more years of experience in a hospital billing office environment.
• Knowledge of contracts, insurance billing requirements, UB04 claim forms, Medicare, Medi-Cal and compliance program regulations.
• Proactive and assertive account resolution skills. 
• Ability to balance assertiveness with compassion for the patient and others.
• Must have a thorough understanding of CPT, ICD, DRG, and HCPC codes.
• Must have a thorough understanding of stop losses, per diems, carve-outs, and other contract terms and conditions.
• Good analytical and organizational skills, interpersonal, verbal, and written communication skills
• Knowledge of computer operation, keyboard functions, calculator, copier, and fax machine operation, including software skills (i.e. Microsoft Applications and E-mail, etc.)
• Must be a motivated individual with a positive and exceptional work ethic.
• Ability to follow directions and written procedures.
• Must be able to work onsite a least one day a week in our Emeryville office. 

Preferred Qualifications

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

About UCSF

At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what’s possible for the patients we serve – a promise we share with the professionals who make up our team.

Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report – UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.

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 our PRIDE values.

In addition to our PRIDE values, 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 at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.

Equal Employment Opportunity

The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Job Code and Payroll Title

004621 COLL REPR SR

Job Category

Accounting / Finance, Administrative Support, Financial, Support Services

Bargaining Unit

Teamsters Local 2010 - Clerical and Allied Services Unit (CX)

Location

Emeryville, CA, Flexible (combination of onsite and remote work), Hybrid

Additional Shift Details

M-F