Job SummarySenior Collections Representative (SCR) is responsible for both billing and collections, gathering and securing all information needed for billing, follow up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations. This includes maintaining the deficiency (WQ) 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. In addition, the SCR is accountable and responsible for billing through account closure.Senior Collections Representatives utilize multiple databases and applications to analyze and take appropriate action on information or documents received. Applications and Databases consist of: Apex System, Cirius, Rev Cycle Pro, Imaging, Transplant Database, and Multiple Payer websites. There is frequent contact with insurance company representatives, hospital and clinical departments and managers, professional billing groups. as well as patients.The final salary and offer components are subject to additional approvals based on UC policy. To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search (https://tcs.ucop.edu/non-academic-titles) Please note: An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role. For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.htmlRequired QualificationsHS Diploma or GEDSix or more years of experience working in hospital billing office environment.Excellent 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 and CPT, ICD, DRG, and HCPC codesUnderstanding of Professional Fees.Strong analytical and organizational skills, interpersonal, verbal, and written communication skills.Excellent of computer operation to include MS Office, keyboard functions, calculator, copier and fax machine operation.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. High attention to detail is essential. Ability to balance assertiveness with compassion for the patient and others.Must be able to work onsite in our Emeryville office with the possibility of working remote from time to time.Preferred QualificationsMedical terminology experience. ICD, CPT4, HCPCS, DRG coding experience.Understanding of HIPAA rules and regulations.About UCSFAt 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 ValuesUCSF 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.
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