Medicare Collection Representative Jobs (NOW HIRING)

A Senior Collections Representative Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow-up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations. A Biller/Collector is responsible for reviewing, correcting, and completing billings to ensure complete and accurate billing of Medicare, Medi-cal, Managed Medicare/Medi-cal, and/or Other Government payers. A Biller/Collector calculates expected reimbursement to verify expected payments versus actual payments received. A Biller/Collector files disputes with payers for denials and/or underpayments. A Biller/Collector is accountable and responsible for accurate billing and reconciling accounts to closure.
Senior Collections Representative Biller/Collector utilizes multiple databases and applications to analyze and take appropriate action on information or documents received. Applications and Databases consist of: EPIC, Hospital Rates, CIRIUS, RevCyclePro, Imaging, DDE, and various payer websites. Frequent contact with Patient Financial Services staff, departments, and management, as well as patients, billing, professional fee and collection services vendors.
Responsibilities
A Senior Collections Representative Biller/Collector is responsible for both billing and collections, gathering and securing all information needed for billing, follow-up, and payment of accounts in accordance with the specific payer guidelines, policies, procedures, and compliance regulations. A Biller/Collector is responsible for reviewing, correcting, and completing billings to ensure complete and accurate billing of Medicare, Medi-cal, Managed Medicare/Medi-cal, and/or Other Government payers. A Biller/Collector calculates expected reimbursement to verify expected payments versus actual payments received. A Biller/Collector files disputes with payers for denials and/or underpayments. A Biller/Collector is accountable and responsible for accurate billing and reconciling accounts to closure.
Senior Collections Representative Biller/Collector utilizes multiple databases and applications to analyze and take appropriate action on information or documents received. Applications and Databases consist of: EPIC, Hospital Rates, CIRIUS, RevCyclePro, Imaging, DDE, and various payer websites. Frequent contact with Patient Financial Services staff, departments, and management, as well as patients, billing, professional fee and collection services vendors.
Qualifications
Required Qualifications

• Four or more years of experience working in a hospital billing office environment
• High school diploma or GED certificate.
• Must demonstrate an in-depth understanding of all aspects of billing. For internal hires, one must be greater than that of an Office Assistant III and a Senior Collections Rep I
• Knowledge of contracts, insurance billing requirements, UB04 claim forms, Medicare, Medi-Cal and compliance program regulations.
• Good analytical and organizational skills, interpersonal, verbal, and written communication skills.
• Knowledge of computer operation, keyboard functions, calculator, copier, and fax machine operation.
• Adequate keyboard skills.
• Proactive and assertive account resolution skills.
• Must be a motivated individual with a positive and exceptional work ethic.
• Ability to follow directions and written procedures.
• Ability to balance assertiveness with compassion for the patient and others.
• Must have a thorough understanding of CPT, ICD, DRG, and HCPC codes
• Must have a thorough understanding of stop losses, per diems, carve-outs, and other contract terms and conditions.
• Computer software skills (i.e. Microsoft Applications and E-mail, etc.).
• The ability to work in Emeryville a min. of one day a week or more.

Preferred Qualifications

• Medical terminology experience.
• ICD, CPT4, HCPCS, DRG coding experience.
• Understanding of HIPAA rules and regulations

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.
In addition to our PRIDE values, UCSF is committed to equity - both in how we deliver care as well as our workforce. We are committed to building a broadly diverse community, nurturing a culture that is welcoming and supportive, and engaging diverse ideas for the provision of culturally competent education, discovery, and patient care. Additional information about UCSF is available here.
Join us to find a rewarding career contributing to improving healthcare worldwide.
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
About the Team
The Patient Financial Services Department plays a vital role in UCSF-s healthcare operations by managing patient billing, financial assistance, and payment processing. The department ensures that patients can navigate the financial aspects of their healthcare experience with ease and clarity, while also supporting UCSF-s revenue cycle and financial sustainability.