Sr Collections Rep - PB Financial Services - FT Days

University of California, Irvine•Anaheim, CA

2d•Onsite

About The Position

The Sr./Lead Collections Representative is an advanced level in this series demonstrating competency in all duties typically performed by a Collections Representative. This position functions with limited supervision, independently managing and resolving more complex, higher level accounts and transactions in a timely manner, taking the appropriate billing, collections, or customer service actions to resolve an account. This position will also serve as a Lead and knowledgeable specialist, acting as a role model and valued resource and coach to other staff, assisting with more difficult accounts, troubleshooting, and providing advice, direction, and support to the team. May be assigned to a specialized area of PB Financial Services requiring advanced knowledge and will respond to questions from patients, physicians, payers and others to include attorneys regarding the status of accounts. Trains staff and assists supervisor in assessing staff competencies. Works on special projects and other assignments as needed.

Requirements

Strong math skills to perform a variety of calculations related to patient accounting
Strong ability to analyze, think critically, and problem solve
Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
Must demonstrate customer service skills appropriate to the job
Minimum 5 years’ experience in collections in outpatient and hospital setting
Excellent written and verbal communication skills in English
Excellent understanding of capitation and commercial HMO
Demonstrated strong listening, collaboration, and team-orientation skills
Demonstrated ability to achieve monthly productivity standards
Demonstrated ability as a trusted resource to co-workers and staff on problematic and/or difficult accounts
Advanced knowledge of revenue cycle processes gained from previous related work experience in a healthcare setting
Advanced knowledge in medical professional fee billing to include Medi-Cal, Medicare, MSI, Champus, and commercial insurance carriers
Advanced ability to review and analyze patient account to effectively bill and/or collect revenue for professional medical services rendered
Ability to resolve routine and non-routine matters independently
Ability to maintain a work pace appropriate to the workload
Ability to establish and maintain effective working relationships across the Health System
Must be able to provide proof of work authorization

Nice To Haves

Prior experience as a lead
Knowledge of University and medical center organizations, policies, procedures and forms

Responsibilities

Independently managing and resolving more complex, higher level accounts and transactions in a timely manner.
Taking the appropriate billing, collections, or customer service actions to resolve an account.
Acting as a role model and valued resource and coach to other staff.
Assisting with more difficult accounts, troubleshooting, and providing advice, direction, and support to the team.
Responding to questions from patients, physicians, payers and others to include attorneys regarding the status of accounts.
Training staff and assisting supervisor in assessing staff competencies.
Working on special projects and other assignments as needed.