Senior Collections Representative

UCSF Health; Emeryville (CA); Sur place; USD 65 000 - 95 000; Plein temps

Résumé du poste

UCSF Health in Emeryville is seeking a Senior Collections Representative to manage accounts receivable for Golden Gate OB/GYN. The role includes claim submission, payer follow‑up, and resolution of patient concerns using the CureMD system.

Candidate must have a high school diploma and at least five years in collections, including two years of investigations and one year of professional fee billing follow‑up in a medical setting. Onsite work required in Emeryville.

Qualifications

• High school diploma or GED required with 5 years of experience in accounts receivable/collections.
• At least 2 years in collections investigation and 1+ year in professional fee billing follow-up in a medical office or university setting.

Responsabilités

• Handle accounts receivable for Golden Gate OB/GYN including claim submission, edits, payment posting, and follow-up.
• Communicate with payers, patients, and staff to resolve receivables; respond to inquiries via ACD system.
• Ensure HIPAA compliance and work within CureMD system for all tasks.

Connaissances

Communication

Organizational skills

Multitasking

Formation

High school diploma or GED

Description du poste

Job Description

The Senior Collections Representative (SCR) is responsible for the accounts receivable associated with Golden Gate OB/GYN. The SCR will be responsible for, but not limited to, the following: Claim submission, Cirius Claims edits, Payment Posting, Cirius Charge edits, RFI edits and lockbox reconciliation. The SCR will also be responsible for all follow‑up on receivables associated with commercial, government, contracted and managed care insurance payers. The SCR will answer and resolve patient concerns through phone calls routed through the ACD system. The SCR must have excellent customer service skills with emphasis on phone etiquette and courteousness. All tasks associated with Golden Gate OB/GYN will be initiated and completed within the CureMD computer system. This SCR deals regularly with complex policy and procedural issues that involve contract compliance with regard to HMO and PPO payers. It is the SCR’s responsibility to communicate and coordinate with Golden Gate OB/GYN staff to ensure quality outcomes from all settings and situations associated with GG-OB/GYN.

Job Description

The Senior Collections Representative (SCR) is responsible for the accounts receivable associated with Golden Gate OB/GYN. The SCR will be responsible for, but not limited to, the following: Claim submission, Cirius Claims edits, Payment Posting, Cirius Charge edits, RFI edits and lockbox reconciliation. The SCR will also be responsible for all follow‑up on receivables associated with commercial, government, contracted and managed care insurance payers. The SCR will answer and resolve patient concerns through phone calls routed through the ACD system. The SCR must have excellent customer service skills with emphasis on phone etiquette and courteousness. All tasks associated with Golden Gate OB/GYN will be initiated and completed within the CureMD computer system. This SCR deals regularly with complex policy and procedural issues that involve contract compliance with regard to HMO and PPO payers. It is the SCR’s responsibility to communicate and coordinate with Golden Gate OB/GYN staff to ensure quality outcomes from all settings and situations associated with GG-OB/GYN.

The SCR’s main task is to resolve all outstanding receivables through constant communication with the payers, patients, and other Golden Gate OB/GYN staff. All follow‑up will be performed by accessing information by phone or through appropriate websites. The SCR will conform to all UCSF, MGBS, Golden Gate OB/GYN and Government HIPAA policies and procedures.

Qualifications

Requirements:

• High school diploma / GED and five years of experience, including two years of experience in collections investigation and o ne or more years of follow‑up experience in professional fee billing in a doctor’s office or University setting
• Ability to work in a changing environment and handle multiple tasks efficiently
• Good organizational interpersonal, verbal and written communication skills
• Ability to work onsite in Emeryville.

Preferences

• Bachelor's degree.

About Us

About UCSF

The 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 Values

UCSF 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.

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.

Salary Information

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.html