Medical Collections Representative

Updated: Oct 11, 2022
Location: Orange-Campus
Job Type:
Department: Physicians Billing Group

Job Opening ID: 44088
Reports To: Administrative Officer 3
Working Title: Medical Collections Representative
Department: Physicians Billing Group
Bargaining Unit: CX
FLSA: Non-Exempt
Payroll Job Code: 004622
Job Location: UCI Med Center-Orange
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 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:
 
$21.00 – $25.00
 
Department Website:
 
https://www.ucihealth.org/compliance/billing-compliance
 
Required:
 
Experience in medical professional fee billing to include Medi-Cal, Medicare, MSI, Champus and commercial insurance carriers. Understanding of capitation and commercial HMO. Effectively review and analyze patient account to effectively bill and or collect revenue for professional medical services rendered. Ability to achieve monthly productivity standards
 
Preferred:
 
Working knowledge and experience with patient registration and authorization process. Well-developed verbal and written communication skills Possess knowledge of and skill in using payor websites to assess claim status or to follow-up on collections process Experience with the Epic Billing System Experience in professional fee medical collections.
 
Conditions of Employment:
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Legal Right to work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page – https://hr.uci.edu/new-hire/conditions-of-employment.php
Closing Statement:
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 .
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact Human Resources at (949) 824-0500 or eec@uci.edu .
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