Senior Collection Representative

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The Payment Posting Unit is responsible and accountable for the accurate and timely posting of insurance and patient payments. The unit is responsible for analyzing and resolving credit balances. The unit also assists in tracing payments, tracking, and reconciling deposits. It is the unit’s responsibility to communicate throughout the UCSF Medical Center departments, including the various UCSF billing agents, to resolve issues involving the accounts receivable of professional services.

Within this unit, the Payment Posting Lead is responsible for the accurate posting of payments and deposit reconciliation through constant communication with MGBS staff, UCSF departments, and various billing agencies. The incumbent will also assist the Payment Posting Manager in specific tasks, training, and special projects. The incumbent demonstrates the ability to perform all aspects of payment posting with superior quality. The incumbent will conform to all UCSF, MGBS, government, and HIPAA policies and procedures.

The Payment Posting Unit is responsible and accountable for the accurate and timely posting of insurance and patient payments. The unit is responsible for analyzing and resolving credit balances. The unit also assists in tracing payments, tracking, and reconciling deposits. It is the unit’s responsibility to communicate throughout the UCSF Medical Center departments, including the various UCSF billing agents, to resolve issues involving the accounts receivable of professional services.

Within this unit, the Payment Posting Lead is responsible for the accurate posting of payments and deposit reconciliation through constant communication with MGBS staff, UCSF departments, and various billing agencies. The incumbent will also assist the Payment Posting Manager in specific tasks, training, and special projects. The incumbent demonstrates the ability to perform all aspects of payment posting with superior quality. The incumbent will conform to all UCSF, MGBS, government, and HIPAA policies and procedures.

Requirements:

* High school graduate or GED certificate.
* Two or more years of experience working in a cash posting environment and/or remittance processing environment.
* Two or more years of experience in billing or related healthcare experience.
* Must have an advanced understanding of Insurance Explanation of Benefits or Remittance Advice terminology
* Must demonstrate an advanced understanding of all aspects of the cash posting unit
* Ability to determine correct payment and denial amounts before posting.
* Advanced keyboard skills and calculator skills.
* Knowledge of computer operation (i.e., typing, Microsoft Word, Excel) and office equipment (i.e., fax machine and copy machine).
* Solid math and analytical skills and attention to detail.
* Strong organizational skills. Ability to work in a changing environment and handle multiple tasks efficiently
* Demonstrate team leadership skills
* Interpersonal, verbal, and written communication skills.
* Must be a motivated, positive individual with an exceptional work ethic.
* Ability to follow directions and written procedures.
* Ability to work independently.
* Knowledge of the mandated HIPAA regulations for security, PHI, and confidentiality is an essential requirement for this position
* Ability to work in a changing environment and handle multiple tasks efficiently
* Good organizational, interpersonal, verbal, and written communication skills.
* The ability to work in Emeryville when required.

Preferences:

* Banking or Accounting background.
* Knowledge of contracts, insurance billing requirements, 1500 claim forms, workers’ compensation, HMOs, PPOs, Medicare, Medi-Cal, and HIPAA compliance program regulations.
* Knowledge of CPT and ICD-9, ICD.10 Coding.
* Solid understanding of the billing requirements of each major payor.
* Medical terminology experience.
* Knowledge of patient accounting.

Requirements:

* High school graduate or GED certificate.
* Two or more years of experience working in a cash posting environment and/or remittance processing environment.
* Two or more years of experience in billing or related healthcare experience.
* Must have an advanced understanding of Insurance Explanation of Benefits or Remittance Advice terminology
* Must demonstrate an advanced understanding of all aspects of the cash posting unit
* Ability to determine correct payment and denial amounts before posting.
* Advanced keyboard skills and calculator skills.
* Knowledge of computer operation (i.e., typing, Microsoft Word, Excel) and office equipment (i.e., fax machine and copy machine).
* Solid math and analytical skills and attention to detail.
* Strong organizational skills. Ability to work in a changing environment and handle multiple tasks efficiently
* Demonstrate team leadership skills
* Interpersonal, verbal, and written communication skills.
* Must be a motivated, positive individual with an exceptional work ethic.
* Ability to follow directions and written procedures.
* Ability to work independently.
* Knowledge of the mandated HIPAA regulations for security, PHI, and confidentiality is an essential requirement for this position
* Ability to work in a changing environment and handle multiple tasks efficiently
* Good organizational, interpersonal, verbal, and written communication skills.
* The ability to work in Emeryville when required.

Preferences:

* Banking or Accounting background.
* Knowledge of contracts, insurance billing requirements, 1500 claim forms, workers’ compensation, HMOs, PPOs, Medicare, Medi-Cal, and HIPAA compliance program regulations.
* Knowledge of CPT and ICD-9, ICD.10 Coding.
* Solid understanding of the billing requirements of each major payor.
* Medical terminology experience.
* Knowledge of patient accounting.

Equal Employment Opportunity: The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

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