University of California San Francisco
Senior Collections Representative / Follow-up Representative
University of California San Francisco, San Francisco, California, United States, 94199
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 Representative, also known as Follow-Up Representatives, is 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 phone or via web access), other MGBS units, UCSF clinical departments, and billing agents.
When resolving the accounts receivables, the 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 Representative must also meet minimum productivity standards and quality expectations of their units and must attend and be engaged in unit and team meetings aimed at increasing knowledge. The Representative will utilize web-based tools, including payor websites and the RMS website prior to calling payors. In addition, the Representative will conform to all UCSF, MGBS, government, and HIPAA policies and procedures.
The final salary and offer components are subject to additional approvals based on UC policy.
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Within these units, the Senior Collection Representative, also known as Follow-Up Representatives, is 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 phone or via web access), other MGBS units, UCSF clinical departments, and billing agents.
When resolving the accounts receivables, the 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 Representative must also meet minimum productivity standards and quality expectations of their units and must attend and be engaged in unit and team meetings aimed at increasing knowledge. The Representative will utilize web-based tools, including payor websites and the RMS website prior to calling payors. In addition, the Representative will conform to all UCSF, MGBS, government, and HIPAA policies and procedures.
The final salary and offer components are subject to additional approvals based on UC policy.
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