Senior Cross-Functional Collections Representative

Avature; Los Angeles (CA); On-site; USD 10,000 - 60,000; Full time

Job summary

A leading healthcare organization is seeking a Senior Cross-Functional Collections Representative. This role involves managing complex accounts, optimizing collections strategies, and training new staff. The ideal candidate will have substantial experience in billing and collections and strong skills in communication and analysis.

Qualifications

• 5 years of experience in billing and collections across payer types.
• Strong understanding of reimbursement regulations and medical terminology.
• Proficiency in billing systems and account management tools.

Responsibilities

• Manage a diverse portfolio of complex accounts across payer types.
• Conduct detailed analysis of aged accounts and payment discrepancies.
• Support onboarding and training for new team members.

Skills

Analytical Skills

Communication

Negotiation

Organizational Skills

Tools

Epic

Spreadsheets

Job description

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Onsite or Remote

Flexible Hybrid

Work Schedule

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

Posted Date

07/17/2025

Salary Range: $33.27 - 47.77 Hourly

Employment Type

Duration

Indefinite

Job #

25410

Primary Duties and Responsibilities

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UCLA Health is seeking a Senior Cross-Functional Collections Representative to support Patient Business Services by managing a diverse portfolio of complex accounts. In this role, you will lead proactive reimbursement efforts, support training for new staff, and collaborate across teams to improve workflows and maximize collections. This position plays a critical role in ensuring timely resolution of outstanding claims and contributes to the overall financial success of the organization.

In this role, you will:

• Manage an assigned portfolio of accounts across payer types, executing complex claim reviews, resolving payment delays, and optimizing collections strategy
• Conduct detailed analysis of aged accounts and payment discrepancies, including preparing documentation for escalations or referrals
• Communicate with payers, departments, and patients to obtain missing documentation, clarify benefits, and resolve reimbursement issues
• Make financial adjustments and rebill claims as needed, ensuring compliance with contract terms and payer policies
• Maintain thorough documentation in CareConnect and ensure workflows are supported by accurate case notes
• Support onboarding and training for new team members, providing guidance on policies, systems, and effective resolution techniques
• Assist with special projects, stay current on industry changes, and contribute to workflow enhancements

UCLA Health is seeking a Senior Cross-Functional Collections Representative to support Patient Business Services by managing a diverse portfolio of complex accounts. In this role, you will lead proactive reimbursement efforts, support training for new staff, and collaborate across teams to improve workflows and maximize collections. This position plays a critical role in ensuring timely resolution of outstanding claims and contributes to the overall financial success of the organization.

In this role, you will:

• Manage an assigned portfolio of accounts across payer types, executing complex claim reviews, resolving payment delays, and optimizing collections strategy
• Conduct detailed analysis of aged accounts and payment discrepancies, including preparing documentation for escalations or referrals
• Communicate with payers, departments, and patients to obtain missing documentation, clarify benefits, and resolve reimbursement issues
• Make financial adjustments and rebill claims as needed, ensuring compliance with contract terms and payer policies
• Maintain thorough documentation in CareConnect and ensure workflows are supported by accurate case notes
• Support onboarding and training for new team members, providing guidance on policies, systems, and effective resolution techniques
• Assist with special projects, stay current on industry changes, and contribute to workflow enhancements

Salary Range: $33.27 – $47.77 hourly

Job Qualifications

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We’re looking for a skilled and experienced collections professional with:

• Minimum of five years of progressive experience in billing and collections across payer types (government, commercial, managed care)
• Strong understanding of reimbursement regulations, payer contracts, medical terminology, and confidentiality compliance
• Proven ability to resolve complex claims, process adjustments, and manage appeals effectively
• Proficiency in Epic or similar billing systems, with strong skills in spreadsheets and account management tools
• Excellent communication and negotiation skills, with experience collaborating across departments and training others
• Strong organizational skills and the ability to manage multiple priorities independently in a fast-paced setting