Collections Representative

Responsibilities Follow Up Collection Representative is responsible for collections and resolution of all inpatient and outpatient accounts with commercial insurance balances across various work queues. Follow up Representatives conduct proactive follow up with payors regarding nonpayment, underpayments or incorrect payments in a stratified manner, calculate expected reimbursement and recommend legal assignment when needed. Follow up Collection Representatives reconcile the accounts to closure and work inpatient and outpatient accounts. Follow Up Collections Representatives utilize multiple databases and applications to analyze and take appropriate action on information or documents received. Applications and Databases consist of: Epic System, Cirius Billing System, Revenue Cycle Pro and multiple payor websites. There is frequent contact with insurance company representatives, hospital and clinical departments. Requirements HS Diploma or GED Two or more years of experience working in hospital billing office environment. Excellent 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 codes. Understanding of Professional Fees. Strong analytical and organizational skills, interpersonal, verbal, and written communication skills. Excellent 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 Emeryville office with possibility of working remote from time to time. Preferences Medical terminology experience. ICD, CPT4, HCPCS, DRG coding experience. Understanding of HIPAA rules and regulations. Equal Employment Opportunity The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. #J-18808-Ljbffr University of California - San Francisco