Hybrid Hospital Collections Specialist

UCLA Health; Los Angeles (CA); Hybrid; USD 40,000 - 57,000; Full time

Job summary

UCLA Health is seeking a Commercial Collections Representative to manage a portfolio of inpatient and outpatient claims and drive timely collections. The role involves communicating with third-party payers to resolve discrepancies and following up to ensure resolution.

The ideal candidate will have at least 3 years in collections (including commercial or managed care), strong Excel skills, and the ability to interpret payer contracts.

Qualifications

• Self-directed and detail-oriented
• High school diploma or GED with 3+ years in collections
• Experience in commercial and managed care collections preferred
• Able to interpret payer contracts and adjustments
• Knowledge of UB04 and medical billing processes
• Strong Excel and spreadsheet skills
• Excellent verbal and written communication
• Organizational skills with deadline drive

Responsibilities

• Manage a portfolio of inpatient and outpatient claims for collections.
• Communicate with third-party payers to resolve reimbursement discrepancies.
• Follow up on claims to ensure timely resolution.
• Coordinate with insurance providers, patients, and internal teams to resolve payment issues.

Skills

Analytical skills

Excel proficiency

Communication skills

Organizational skills

Independent work

Education

High school diploma or GED

Tools

Excel

Word

Job description

UCLA Health is seeking a Commercial Collections Representative to manage a portfolio of inpatient and outpatient claims and drive timely collections. The role involves communicating with third-party payers to resolve discrepancies and following up to ensure resolution.

The ideal candidate will have at least 3 years in collections (including commercial or managed care), strong Excel skills, and the ability to interpret payer contracts.