Senior Collection Rep.’s are responsible for the following but not limited to:

• Billing and Collections: Gathering and securing all information needed for billing, follow-up, and payment of accounts per the specific payer guidelines, policies, procedures, and compliance regulations.
• Reviewing, correcting, and completing billings to ensure complete and accurate billing of Medi-cal and/or Managed Medicare/Medi-cal payers.
• Calculates expected reimbursement to verify expected payments versus actual payments received.
• Files disputes with payers for denials and/or underpayments.
• Accountable and responsible for accurate billing and reconciling accounts to closure.
• Utilize 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 and professional fee and collection services vendors.

The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on several factors, including your work experience and internal equity within this position classification at UCSF. For positions represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The hourly rate range for this position is $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.htm

REQUIRED QUALIFICATIONS

• High School Diploma or GED
• Four or more years of experience working in a hospital billing office environment.
• Must demonstrate an in-depth understanding of all aspects of billing (Internal Applicants: Greater than an Office Assistant III and Senior Collections Rep I)
• Knowledge of contracts, insurance billing requirements, UB04 claim forms, Medicare, Medi-Cal and compliance program regulations.
• Good analytical and organizational skills, interpersonal, verbal, and written communication skills.
• Knowledge of computer operation, keyboard functions, calculator, copier and fax machine operation to including MS Office.
• Proactive and assertive account resolution skills.
• Must be a motivated individual with a positive and exceptional work ethic.
• Ability to follow directions and written procedures.
• Ability to balance assertiveness with compassion for the patient and others.
• Must have a thorough understanding of CPT, ICD, DRG, and HCPC codes, stop losses, per diems, carve outs and other contract terms and conditions.
• The ability to work onsite in our Emeryville office location.

PREFERRED QUALIFICATIONS

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

• Billing and Collections: Gathering and securing all information needed for billing, follow-up, and payment of accounts per the specific payer guidelines, policies, procedures, and compliance regulations.
• Reviewing, correcting, and completing billings to ensure complete and accurate billing of Medi-cal and/or Managed Medicare/Medi-cal payers.
• Calculates expected reimbursement to verify expected payments versus actual payments received.
• Files disputes with payers for denials and/or underpayments.
• Accountable and responsible for accurate billing and reconciling accounts to closure.
• Utilize 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 and professional fee and collection services vendors