Medical Collections Representative - 40289-1A

Updated: Aug 1, 2022
Location: Irvine-Campus
Job Type:
Department: Physicians Billing Group

Job Opening ID: 40289
Reports To: Assistant Director
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: Contract
 
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:
 
$21.00 - $25.00
 
Department Website:
 
Required:
 
Skill to effectively use PC, MS applications, information data bases, billing systems and relevant payor websites to resolve account billing and/or collections issues. Demonstrated skill/experience in medical professional fee billing to include Medi-Cal, Medicare, MSI, Campus and commercial insurance carriers. Understanding of capitation and commercial HMO. 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 Filing and record keeping skills. Ability to operate a 10-key calculator. Basic accounting knowledge to understand credits debits and the ability to accurately audit patient ledgers. 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 Possess knowledge of and skill in using payor websites to assess claim status or to follow-up on collections process. Possess working knowledge and experience with patient registration and authorization process. Demonstrated skill/experience using the CPT and ICD-9 code books for determination of fees and diagnosis. Skill to effectively review and analyze patient account to effectively bill and or collect revenue for services rendered. Possess effective collections techniques and skills. Posses the skill to read and comprehend documents to take appropriate action. 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 professional fee medical collections. Skill to effectively follow up on accounts receivable (AR), credit or underpaid accounts with insurance carriers and or patients. Accurate typing and proofreading skills. Ability to be flexible to a variety of collection assignments and changing priorities as assigned by management.
 
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.
 
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 [email protected].
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