NPH Medi-Cal Collections Representative

UCLA Health; Los Angeles (CA); In loco; USD 40.000 - 56.000; Tempo pieno

Descrizione del lavoro

UCLA Health in Los Angeles is seeking a Medi-Cal Fee For Service Collections Representative to manage a portfolio of inpatient and outpatient claims. You will drive timely collections, communicate with payers, patients and internal teams to resolve issues, and ensure accurate billing practices.

The role requires 3+ years in collections with knowledge of UB04 and Medi-Cal processes, plus strong Excel and Word skills and excellent communication.

Competenze

• High school diploma or GED; 3+ years of relevant experience, including at least 1 year in collections investigation.
• Experience in Medi-Cal Fee For Service and Medi-Cal managed care collections is highly desired.
• Ability to interpret payer contracts and process contractual adjustments.
• In-depth knowledge of UB04 requirements and medical billing processes.
• Strong analytical skills and proficiency in Excel and Word.
• Excellent verbal and written communication skills; familiarity with medical terminology and coding.

Mansioni

• Manage a designated portfolio of inpatient and outpatient Medi-Cal claims to optimize collections.
• Conduct account reviews to identify outstanding balances and resolve discrepancies with third-party payers.
• Maintain timely follow-up on claims and communicate with insurers, patients, and internal teams.
• Interpret payer contracts and process contractual adjustments while ensuring compliance.

Conoscenze

Analytical skills

Verbal and written communication

Detail-oriented

Organization

Formazione

High school diploma or GED

Strumenti

Excel

Word

Descrizione del lavoro

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Work Schedule

Monday - Friday, 7:30 AM - 4:30 PM

Posted Date

10/15/2026

Salary Range: $29.03 - 41.23 Hourly

Employment Type

Duration

Indefinate

Job #

33764

Primary Duties and Responsibilities

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Patient Business Services

As a Medi-Cal Fee For Service Collections Representative, you will manage a designated portfolio of inpatient and outpatient claims, ensuring effective and efficient collection efforts. Your primary responsibilities include:

• Conducting regular account reviews to identify outstanding balances.
• Initiating and maintaining communication with third-party payers to resolve reimbursement discrepancies.
• Diligently following up on claims to ensure timely resolution.
• Communicate with insurance providers, patients, and internal departments to gather necessary information and resolve payment issues.

Salary Range: $29.03- $41.23/hourly

Job Qualifications

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We are seeking a self-directed, detail-oriented individual with:

• High school diploma or GED; Minimum of 3 years of relevant experience, including at least 1 year in collections investigation
• Experience in Medi-Cal Fee For Service and Medi-Cal managed care collections, highly desired
• Ability to interpret payer contracts and process contractual adjustments
• In-depth knowledge of UB04 requirements and medical billing processes
• Strong analytical skills and proven proficiency in Excel and spreadsheets
• Understanding of collection techniques and laws, including AB1455, the Knox-Keene Act, Health & Safety Codes, etc., Familiarity with medical terminology, CPT codes, HCPCS codes, health networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations
• Excellent verbal and written communication skills
• Proficiency in Microsoft Office, especially Excel and Word

We are seeking a self-directed, detail-oriented individual with:

• High school diploma or GED; Minimum of 3 years of relevant experience, including at least 1 year in collections investigation
• Experience in Medi-Cal Fee For Service and Medi-Cal managed care collections, highly desired
• Ability to interpret payer contracts and process contractual adjustments
• In-depth knowledge of UB04 requirements and medical billing processes
• Strong analytical skills and proven proficiency in Excel and spreadsheets
• Understanding of collection techniques and laws, including AB1455, the Knox-Keene Act, Health & Safety Codes, etc., Familiarity with medical terminology, CPT codes, HCPCS codes, health networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations
• Excellent verbal and written communication skills
• Proficiency in Microsoft Office, especially Excel and Word

Exceptional organizational skills, with the ability to meet deadlines, work independently or as part of a team, and prioritize tasks effectively

As a condition of employment, the final candidate who accepts an 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; or have filed an appeal of a finding of substantiated misconduct with a previous employer. Current/former UC employees are subject to a personnel file review.