MEDICAL COLLECTIONS REPRESENTATIVE | University of California, Irvine (UCI) - Military Veterans

at HERC - Southern California

Irvine, California

University of California Irvine MEDICAL COLLECTIONS REPRESENTATIVE Updated: Dec 19, 2020 Location: UC Irvine Campus Job Type: Department: PHYSICIANS BILLING GROUP Job Opening ID: 14042 Reports To: Patient Billing & Collections Supervisor II Working Title: Medical Collections Representative Department: Physicians Billing Group Bargaining Unit: CX FLSA: Non-Exempt Payroll Job Code: 004622 Job Location: UCI Campus- Irvine Percent of Time: 100% Work Schedule: 8-5, M-F Employee Class: Career Position Summary: Under the general supervision and direction of the Billing Manager, the incumbent is responsible for performing a critical function for the Physicians Billing Group (PBG) and its clientele by taking the appropriate billing, collections or Customer Service actions to resolve an account. This requires an understanding of payer guidelines for Medicare, Medi-Cal (and its affiliates), Commercial Insurance, Workers Compensation and various other insurance carriers. Depending on the unit the Collections Representative is assigned to, the incumbent may be required to perform any or all of the following duties: work billing editing error report(s) prior to the submittal of claims to ensure that claims are billed cleanly and free of errors, leading to prompt and maximum pro-fee reimbursement; collecting on insurance and self-pay invoices/accounts with balances as generated and outlined on assigned account receivable worklists, aging reports, system target files and correspondence received and assigned. Compensation Range: $21.64-$25.77 Department Website: Required: Demonstrated skill/experience working with computerized reports or computer systems and/or data bases to abstract relevant billing/collections information. Ability to interact in a professional and diplomatic manner with difficult and/or emotionally charged people. Skill to effectively review and analyze patient account to effectively bill and or collect revenue for services rendered. Possess effective collections techniques and skills. Possess the skill to read and comprehend documents to take appropriate action. Demonstrated skill/experience in professional fee medical collections. Skill to effectively follow up on accounts receivable (AR), credit or underpaid accounts with insurance carriers and or patients. Well developed verbal and written communication skills. Skills to organize and prioritize workload coordinate many assignments simultaneously and meet daily, weekly and or monthly productivity deadlines and standards. Effective interpersonal and professional communication skills to interact with staff, patients and the general public. Demonstrated ability to work independently with only general supervision. Possess ability and skill to problem solve a wide range of account issues. Demonstrated skill/experience in medical professional fee billing to include Medi-Cal, Medicare, MSI, Champus and commercial insurance carriers. Understanding of capitation and commercial HMO. Demonstrated skill/experience using the CPT and ICD-9 code books for determination of fees and diagnosis Basic accounting knowledge to understand credits debits and the ability to accurately audit patient ledgers. Possess working knowledge and experience with patient registration and authorization process. Accurate typing and proofreading skills. Possess knowledge of and skill in using payor websites to assess claim status or to follow-up on collections process. Skill to effectively use PC, MS applications, information data bases, billing systems and relevant pay or websites to resolve account billing and/or collections issues. Ability to be flexible to a variety of collection assignments and changing priorities as assigned by management. Filing and record keeping skills. Ability to operate a 10-key calculator. Preferred: Experience with the GE Billing System Bilingual English/Spanish or English/Vietnamese to communicate with patients as needed. Special Conditions Required: Ability to work overtime and weekend hours as needed and pre-approved to meet deadlines. Frequently using/typing on PC and reading from PC monitor at various font levels. Final candidate subject to background check. As a federal contractor, UC Irvine is required to use E-Verify to confirm the work status of individuals assigned to perform substantial work under certain federal contracts/subcontracts. The University of California, Irvine is an Equal Opportunity/Affirmative Action Employer advancing inclusive excellence. 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 categories covered by the UC nondiscrimination policy . UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact Human Resources at (949) 824-0500. To apply, visit Copyright 2017 Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-1c0b18ec5e6d2941815235037619306d

Irvine, California

Southern California HERC, established in 2003, is a non-profit organization composed of a diverse group of colleges and universities, and research, medical, and cultural institutions. Our institutions are committed to diversity, equity, and inclusion in the recruitment process and providing a work environment sensitive to work/life balance. We also understand that employment decisions often involve two careers and offer state of the art dual career resources and solutions. SoCal HERC includes members from the Central Coast, Los Angeles, Orange County, Inland Empire, and San Diego.

HERC is a gateway to more jobs in higher education and related fields than any other website. HERC provides job seekers with comprehensive and transparent access to job opportunities, daily job alerts, career advice news and webinars, dual career support, and regional multicultural resources to help with relocating to a new community.

SoCal HERC Member Institutions:

Antioch University, Azusa Pacific, University Cal Tech

CSU Fullerton, CSU Northridge,  CSU San Bernardino 

Cedars-Sinai Medical Center, Chapman University, Citrus College

Concordia University Irvine, Grossmont-Cuyamaca CCD, Kaiser Permanente School of Medicine 

Loyola Marymount University, MiraCosta Community College, Mount St. Mary’s University

North Orange County CCD, Occidental College,  Pacific Oaks College & Childrens School 

Point Loma Nazarene University, San Diego State University, Soka University of America

The Claremont Colleges, The Salk Institute for Biological Sciences, UC Path Center

UC Irvine, UCLA, UC Riverside

UCSD, University of Redlands, University of San Diego

University of Southern California, Vanguard University, Whittier College

While there are certainly wonderful opportunities to teach and conduct research at HERC campuses, of the 42,000 jobs on, over 24,000 (or 57%) are non-teaching positions. You will find jobs in healthcare, administration, software, information technology, finance, technical and trades, social work, student affairs, and much, much more.

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