Collections Representative - PB Financial Services - F/T - Days

UC Irvine; Anaheim (CA); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical insurance

Retirement plans

Job summary

UCI Health is seeking a Collections Representative to support the Physicians Billing Group. Under supervision of the Billing Manager, you will manage billing, collections and customer service actions for the assigned accounts.

Responsibilities include reviewing claims edits, pursuing payment, and ensuring accurate submission across Medicare, Medi‑Cal, commercial insurers, and workers’ comp. Strong English communication and healthcare billing knowledge are required.

Qualifications

• Experience in medical professional fee billing with multiple payors.
• Excellent written and verbal English communication.
• Ability to analyze patient accounts for revenue recovery.

Responsibilities

• Handle billing, collections, and customer service actions to resolve accounts.
• Review billing edits prior to claim submission to ensure accuracy.
• Follow payer guidelines (Medicare, Medi‑Cal, MSI, Champus, commercial).

Skills

Customer service

Medical billing

English proficiency

Communication skills

Account analysis

Team collaboration

Tools

Epic Billing System

Job description

Who We Are

UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health - Orange, UCI Health - Irvine, four Community Network hospitals and a growing network of ambulatory care centres across Orange and Los Angeles counties. As Orange County’s only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer centre based in the county, the region’s only American College of Surgeons-verified Level I adult and Level II pediatric trauma centre, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognised regional burn centre verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los Angeles County through excellence in patient care, research and medical education.

Your Role on the Team

Position Summary

Under the general supervision and direction of the Billing Manager, the incumbent is responsible for performing a critical function for the Physicians Billing Group (PBG) and its clientele by taking the appropriate billing, collections, or Customer Service actions to resolve an account. This requires an understanding of payer guidelines for Medicare, Medi-Cal (and its affiliates), Commercial Insurance, Workers Compensation, and various other insurance carriers. Depending on the unit the Collections Representative is assigned to, the incumbent may be required to perform any or all of the following duties: work billing editing error report(s) prior to the submittal of claims to ensure that claims are billed cleanly and free of errors, leading to prompt and maximum pro‑fee reimbursement; collecting on insurance invoices/accounts with balances as generated and outlined on assigned account receivable worklists, ageing reports, system target files and correspondence received and assigned.

What It Takes to be Successful

Required Qualifications

• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must demonstrate customer service skills appropriate to the job
• Experience in medical professional fee billing to include Medi‑Cal, Medicare, MSI, Champus and commercial insurance carriers. Understanding of capitation and commercial HMO.
• Excellent written and verbal communication skills in English
• Effectively review and analyse patient account to effectively bill and or collect revenue for professional medical services rendered.
• Ability to maintain a work pace appropriate to the workload
• Ability to establish and maintain effective working relationships across the Health System
• Ability to achieve monthly productivity standards.

Preferred Qualifications

• Working knowledge and experience with patient registration and authorisation process.
• Well‑developed verbal and written communication skills.
• Possess knowledge of and skill in using payor websites to assess claim status or to follow‑up on collections process.
• Knowledge of University and medical centre organisations, policies, procedures and forms
• Experience with the Epic Billing System
• Experience in professional fee medical collections.

Total Rewards

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilise the links listed here to learn more about our compensation practices and benefits.

Conditions of Employment

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Employment Misconduct*
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E‑Verify
• Pre‑Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement

The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti‑Discrimination Policy. We are committed to attracting and retaining a diverse workforce along with honouring unique experiences, perspectives, and identities. Together, our community strides to create and maintain working and learning environments that are inclusive, equitable, and welcoming. UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Centre (EEC) at [e-mail] or at [phone], Monday - Friday from 8:30 a.m. - 5:00 p.m.

Consideration for Work Authorization Sponsorship

Must be able to provide proof of work authorization