Job Code and Payroll Title
004621 COLL REPR SR Job Summary
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’ responsibility to communicate and 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 Senior Collection Representatives are responsible for billing and follow-up of government, commercial, contract, and/or managed care accounts receivables 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 telephone or via internet web access), other MGBS units, UCSF clinical departments, and billing agents.
When resolving the accounts receivables; the Senior Collection 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 Senior Collection Representative must meet minimum productivity standards and quality expectations of their units. The Senior Collection 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 prior to calling payors. The incumbent will conform to all UCSF, MGBS, government, and HIPAA policies and procedures. Organization
Senior Collections RepresentativeEmployee Class
8 Hours Shift
DaysAdditional Shift Details
Teamsters Local 2010 - Clerical and Allied Services Unit (CX) Job Category
Administrative Support, Financial, Support ServicesRequired Qualifications
- One year or more of previous Insurance follow-up experience.
- High School Diploma or GED
- Excellent verbal and written communication skills.
- Knowledge of CPT and ICD-10
- Experience With Denials Management, MS EXCEL, and OUTLOOK.
- Excellent attendance and time management to include the ability to meet deadlines, productivity, and quality standards, set priorities, goals, and objectives
- Must be able to work independently or as needed with a team.
- Demonstrates positive attitude and excellent customer service skills and the ability to coach and mentor staff for optimal results
- Demonstrate the ability to perform all aspects of billing and follow-up with superior quality.
- This position requires flexibility to orient and work at all UCSF Medical Center locations. Note: The work location is in Emeryville and is not remote based.
- Prior working knowledge of the EPIC (Apex) system, especially PB or HB Insurance Follow-up Module(s).
- Certified Procedural Coder (CPC)
- Bachelor’s Degree
Full TimeDepartment Name
Medical Group Business ServicesEqual Employment Opportunity
The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.Department Description
Medical Group Business Services (MGBS) is responsible for the Professional Fee Billing and Insurance Payer Collections for approximately 30 divisions in the School of Medicine (SOM) and Out-Patient Clinics. MGBS manages an average of $2.2B in charges with average collections totaling $897M. In addition to billing and operations management, MGBS takes ownership for continuing to identify revenue cycle optimization opportunities across all PB Revenue Cycle Stakeholders that result in increased payments year over year.About UCSF
At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what’s possible for the patients we serve – a promise we share with the professionals who make up our team.
Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report – UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents.Pride Values
UCSF is a diverse community made of people with many skills and talents. We seek candidates whose work experience or community service has prepared them to contribute to our commitment to professionalism, respect, integrity, diversity and excellence – also known as our PRIDE values.
In addition to our PRIDE values, UCSF is committed to equity – both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available at diversity.ucsf.edu
Join us to find a rewarding career contributing to improving healthcare worldwide.Location