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Senior Collections Representative

1 month ago

San Francisco, California, United States University of California Full time
Job Summary

The Senior Collections Representative is 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.

This includes maintaining deficiency lists used to obtain missing documents from internal or external entities, resolving claim rejections, packaging claims, including global billing with attachments of professional fee claims, performing proactive follow up with payers, grants, and other entities, and securing payment of accounts.

The Senior Collections Representative is accountable and responsible for billing through account closure.

Key Responsibilities
  • Maintain accurate and up-to-date records of patient accounts
  • Communicate effectively with patients, insurance companies, and other stakeholders
  • Resolve claim rejections and denials in a timely manner
  • Package and submit claims for payment
  • Perform proactive follow up with payers, grants, and other entities
  • Secure payment of accounts
Requirements
  • HS Diploma or GED
  • Six or more years of experience working in a hospital billing office environment
  • Excellent knowledge of hospital billing and collections, including skillset for billing and collections of packaged claims, stop losses, per diems, carve outs, and other contract terms and conditions
  • Understanding of Professional Fees
  • Strong analytical and organizational skills
  • Interpersonal, verbal, and written communication skills
  • Excellent computer operation skills, including MS Office, keyboard functions, calculator, copier, and fax machine operation
  • Proactive and assertive account resolution skills
  • Motivated individual with a positive and exceptional work ethic
  • Ability to follow directions and written procedures
  • High attention to detail
  • Ability to balance assertiveness with compassion for the patient and others
About UCSF

UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere.

We are a diverse community made of people with many skills and talents, and we seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity, and excellence.