Senior Collections Representative aka Follow up Representative

University of California System • Emeryville, CA

36d • $34 - $49 • Onsite

About The Position

The Government, Commercial, Contract, and Managed Care (CCMC) Units are responsible for the accounts receivable, billing, and follow-up of all government or commercial, contract, and managed care payers. The units deal regularly with complex policy and procedural issues that involve contract compliance with regard to Medicare, Medi-Cal, CCS, HMO, and PPO payers. It is the units' responsibilities to communicate and to coordinate throughout various UCSF Medical Center departments, including the UCSF billing agents. to ensure the quality of the university's billing process. Within these units, the Follow-Up Representatives are responsible for billing and follow-up of government, commercial, contract, and/or managed care accounts receivable for MGBS clients. The incumbent demonstrates the ability to perform all aspects of billing and follow-up with quality. The incumbent's main task is to resolve all outstanding insurance accounts through constant communication with the payers (by phone or via web access), other MGBS units, UCSF clinical departments, and billing agents. When resolving the accounts receivable, the Follow-Up Representative must adhere to the MGBS SRG (Situation Response Guide) to ensure consistency with the follow-up and documentation processes and to maintain good quality work. The Follow-up Representative must meet minimum productivity standards and quality expectations of their units. The Follow-up Representative must attend and be engaged in unit and team meetings aimed at increasing knowledge. The incumbent will utilize web-based tools, including payor websites and the RMS website, before calling payors. The incumbent will conform to all UCSF, MGBS, government, and HIPAA policies and procedures. The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors, including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The hourly rate of pay $34.20 - $49.06 To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

Requirements

• High school diploma or GED.
• One year or more of previous Insurance Follow up experience.
• Demonstrate the ability to communicate effectively (orally and in writing).
• Knowledge of CPT and ICD-10
• Experience With Denials Management
• Experience with MS EXCEL and OUTLOOK.
• Effective Time Management and Ability to Meet Deadlines
• Ability to work independently or as needed with a team.
• Ability to meet productivity and quality standards.
• Demonstrates positive attitude and excellent customer service skills.
• Proven ability to coach and mentor staff for optimal results
• Ability to set priorities, goals, and objectives
• Demonstrate the ability to perform all aspects of billing and follow-up with superior quality.
• Excellent Attendance Record.
• The ability to work onsite in our Emeryville office.

Nice To Haves

• Associate's degree or higher.
• Prior working knowledge of the EPIC (Apex) system, especially PB or HB Insurance Follow up Module(s).

Responsibilities

• billing and follow-up of government, commercial, contract, and/or managed care accounts receivable for MGBS clients
• resolve all outstanding insurance accounts through constant communication with the payers (by phone or via web access), other MGBS units, UCSF clinical departments, and billing agents
• adhere to the MGBS SRG (Situation Response Guide) to ensure consistency with the follow-up and documentation processes and to maintain good quality work
• meet minimum productivity standards and quality expectations of their units
• attend and be engaged in unit and team meetings aimed at increasing knowledge
• utilize web-based tools, including payor websites and the RMS website, before calling payors
• conform to all UCSF, MGBS, government, and HIPAA policies and procedures

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Educational Services
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees