University of California - San Francisco Campus and Health
Sr. Collections Representative
University of California - San Francisco Campus and Health, San Francisco, California, United States, 94199
Aug 30, 2024
Sr. Collections Representative
Temporary Employment ProgramTemporary Employment80066BRJob SummaryThe anticipated duration of this assignment is approximately 3 months.
Key Responsibilities:Revenue Cycle FunctionsProcess paper and electronic claim forms for chargeable and billable services.Resolve billing system edits (EDI/Charge Review) to produce clean claims.Review and ensure key data accuracy within the claim form, including provider, practice, CDT/CPT, fees, and appropriate documentation.Review billing correspondence for timely resolution.Apply appropriate denial and claim status codes.Recognize and address insurance reimbursement issues, coding problems, and other financial condition impacts.Collaborate with Revenue Cycle Managers to resolve and share denial trends.Accounts ReceivableFollow up and reprocess claims as necessary.Research complex billing issues, confirm primary and secondary payers, and evaluate coordination of benefits.Identify appropriate contract/plan for payment for all phases of care.Analyze financial data to identify trends in aging accounts and common denials; share findings with management.Implement new systems and processes for managing unpaid or underpaid bills/claims.Draft and submit appeals and escalation letters to payors or patients.Collaborate with clinic managers, supervisors, and providers to resolve billing inquiries.Educate patients on financial responsibility and expectations.Maintain patient relationships to encourage retention and contribute to a patient-focused environment.Payment AllocationCollection and Reconciliation:Collect and reconcile patient and insurance payments.Ensure Cash Handling Procedure is followed in the clinic.Prepare and submit daily journals for ATM, Lockbox, Credit Card deposits, ACH, EFT, i835, and insurance credit card payments using PeopleSoft.Maintain ancillary Excel spreadsheets for reconciliation, statistical, and audit purposes.Prepare daily journals to transfer funds to the Dental Center Division General Ledger.Maintain Excel journal and deposit logs and reconcile monthly journals.Manage the SAS 112 reconciliation process in coordination with accounting and the controller's office.Additional ResponsibilitiesServe as a resource for front desk and treatment planners; resolve system, procedural, and policy issues.Contribute to the development of new administrative processes to streamline billing workflow and improve efficiency.Stay updated on changes in government regulations and third-party carrier requirements.Draft changes to systems, policies, and procedures as needed.Provide backup in all areas of Patient Billing Services through cross-training.Assist in developing training material on system or operational procedure changes.Support management with specific tasks, training, and special projects.Work independently within departmental guidelines, exercise appropriate judgment, and function effectively as a team member.Prioritize workload to meet productivity, accuracy, and service level/aging targets.Attend required meetings and complete trainings and University requirements within deadlines.Perform other duties as assigned.The final salary and offer components are subject to additional approvals based on UC policy.Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.htmlDepartment DescriptionUCSF's Temporary Employment Program (TEP) recruits and hires temporary employees for immediate clerical and technical support services to UCSF Departments and various off-campus locations. UCSF departments deploy temporary employees to work on special projects, fill in for regular employees who are on vacation or leave, or to temporarily fill a vacant position during recruitment. Frequently temporary employees become successful candidates for career and limited appointment positions.Required QualificationsAt least 1 year of previous Insurance Follow up experience.High school graduation and four years of related administrative experience; or an equivalentcombination of education and experienceDemonstrate the Ability to communicate effectively (orally and written).Experience with MS Excel, Word and OutlookEffective time management and ability to meet deadlinesAbility to work independently or as needed with a team.Ability to meet productivity and quality standards.Demonstrates positive attitude and excellent customer service skills.Proven ability to coach and mentor staff for optimal resultsAbility to set priorities, goals and objectivesDemonstrate the ability to perform all aspects of billing and follow-up with superior quality.Excellent attendance record.Preferred QualificationsPrior working knowledge of the EPIC (Apex) system, especially PB or HB Insurance Follow up Module(s).Prior experience in a medical office environment; strongly preferredKnowledge of UC PeoplesoftBachelor's degree in related area and/or equivalent experience/trainingCertified Procedure Coding (CPC) Certified Dental Coding (CDC) Associates or Bachelor's DegreeAbout UCSFThe University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world's leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.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.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.OrganizationTEPJob Code and Payroll Title004621 COLL REPR SRJob CategoryAccounting / Finance, Administrative Support, Temporary EmploymentBargaining UnitTeamsters Local 2010 - Clerical and Allied Services Unit (CX)Helping diverse candidates find great careers is our goal. The information you provide here is secure and confidential.We are now directing you to the original job posting. Please apply directly for this job at the employer’s website.
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Sr. Collections Representative
Temporary Employment ProgramTemporary Employment80066BRJob SummaryThe anticipated duration of this assignment is approximately 3 months.
Key Responsibilities:Revenue Cycle FunctionsProcess paper and electronic claim forms for chargeable and billable services.Resolve billing system edits (EDI/Charge Review) to produce clean claims.Review and ensure key data accuracy within the claim form, including provider, practice, CDT/CPT, fees, and appropriate documentation.Review billing correspondence for timely resolution.Apply appropriate denial and claim status codes.Recognize and address insurance reimbursement issues, coding problems, and other financial condition impacts.Collaborate with Revenue Cycle Managers to resolve and share denial trends.Accounts ReceivableFollow up and reprocess claims as necessary.Research complex billing issues, confirm primary and secondary payers, and evaluate coordination of benefits.Identify appropriate contract/plan for payment for all phases of care.Analyze financial data to identify trends in aging accounts and common denials; share findings with management.Implement new systems and processes for managing unpaid or underpaid bills/claims.Draft and submit appeals and escalation letters to payors or patients.Collaborate with clinic managers, supervisors, and providers to resolve billing inquiries.Educate patients on financial responsibility and expectations.Maintain patient relationships to encourage retention and contribute to a patient-focused environment.Payment AllocationCollection and Reconciliation:Collect and reconcile patient and insurance payments.Ensure Cash Handling Procedure is followed in the clinic.Prepare and submit daily journals for ATM, Lockbox, Credit Card deposits, ACH, EFT, i835, and insurance credit card payments using PeopleSoft.Maintain ancillary Excel spreadsheets for reconciliation, statistical, and audit purposes.Prepare daily journals to transfer funds to the Dental Center Division General Ledger.Maintain Excel journal and deposit logs and reconcile monthly journals.Manage the SAS 112 reconciliation process in coordination with accounting and the controller's office.Additional ResponsibilitiesServe as a resource for front desk and treatment planners; resolve system, procedural, and policy issues.Contribute to the development of new administrative processes to streamline billing workflow and improve efficiency.Stay updated on changes in government regulations and third-party carrier requirements.Draft changes to systems, policies, and procedures as needed.Provide backup in all areas of Patient Billing Services through cross-training.Assist in developing training material on system or operational procedure changes.Support management with specific tasks, training, and special projects.Work independently within departmental guidelines, exercise appropriate judgment, and function effectively as a team member.Prioritize workload to meet productivity, accuracy, and service level/aging targets.Attend required meetings and complete trainings and University requirements within deadlines.Perform other duties as assigned.The final salary and offer components are subject to additional approvals based on UC policy.Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.htmlDepartment DescriptionUCSF's Temporary Employment Program (TEP) recruits and hires temporary employees for immediate clerical and technical support services to UCSF Departments and various off-campus locations. UCSF departments deploy temporary employees to work on special projects, fill in for regular employees who are on vacation or leave, or to temporarily fill a vacant position during recruitment. Frequently temporary employees become successful candidates for career and limited appointment positions.Required QualificationsAt least 1 year of previous Insurance Follow up experience.High school graduation and four years of related administrative experience; or an equivalentcombination of education and experienceDemonstrate the Ability to communicate effectively (orally and written).Experience with MS Excel, Word and OutlookEffective time management and ability to meet deadlinesAbility to work independently or as needed with a team.Ability to meet productivity and quality standards.Demonstrates positive attitude and excellent customer service skills.Proven ability to coach and mentor staff for optimal resultsAbility to set priorities, goals and objectivesDemonstrate the ability to perform all aspects of billing and follow-up with superior quality.Excellent attendance record.Preferred QualificationsPrior working knowledge of the EPIC (Apex) system, especially PB or HB Insurance Follow up Module(s).Prior experience in a medical office environment; strongly preferredKnowledge of UC PeoplesoftBachelor's degree in related area and/or equivalent experience/trainingCertified Procedure Coding (CPC) Certified Dental Coding (CDC) Associates or Bachelor's DegreeAbout UCSFThe University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It is the only campus in the 10-campus UC system dedicated exclusively to the health sciences. We bring together the world's leading experts in nearly every area of health. We are home to five Nobel laureates who have advanced the understanding of cancer, neurodegenerative diseases, aging and stem cells.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.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.OrganizationTEPJob Code and Payroll Title004621 COLL REPR SRJob CategoryAccounting / Finance, Administrative Support, Temporary EmploymentBargaining UnitTeamsters Local 2010 - Clerical and Allied Services Unit (CX)Helping diverse candidates find great careers is our goal. The information you provide here is secure and confidential.We are now directing you to the original job posting. Please apply directly for this job at the employer’s website.
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