Senior Collection Representative

UCSF•Emeryville, CA

About The Position

A Senior Collections Representative Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow-up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations. A Biller/Collector is responsible for reviewing, correcting, and completing billings to ensure complete and accurate billing of Medicare, Medi-cal, Managed Medicare/Medi-cal, and/or Other Government payers. A Biller/Collector calculates expected reimbursement to verify expected payments versus actual payments received. A Biller/Collector files disputes with payers for denials and/or underpayments. A Biller/Collector is accountable and responsible for accurate billing and reconciling accounts to closure. Senior Collections Representative Biller/Collector utilizes multiple databases and applications to analyze and take appropriate action on information or documents received. Applications and Databases consist of: 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, professional fee and collection services vendors.

Requirements

EPIC
Hospital Rates
CIRIUS
RevCyclePro
Imaging
DDE
Various payer websites

Responsibilities

Responsible for both billing and collections.
Gathering and securing all information needed for billing, follow-up, and payment of accounts in accordance with specific payer guidelines, policies, procedures, and compliance regulations.
Reviewing, correcting, and completing billings to ensure complete and accurate billing of Medicare, Medi-cal, Managed Medicare/Medi-cal, and/or Other Government payers.
Calculating expected reimbursement to verify expected payments versus actual payments received.
Filing disputes with payers for denials and/or underpayments.
Accurate billing and reconciling accounts to closure.
Utilizing multiple databases and applications to analyze and take appropriate action on information or documents received.
Frequent contact with Patient Financial Services staff, departments, and management, as well as patients, billing, professional fee and collection services vendors.