Collections Follow Up Representative

Temporary Employment Program

Temporary Employment

84318BR

Job Summary

The anticipated duration of this assignment is approximately five months. Will include optional medical coverage, holiday pay and sick leave accrual. After initial training, must be able to go on site in Emeryville about once per week as needed.

The Senior Collections Representative (SCR) is responsible for the accounts receivable associated with Golden Gate OB/GYN. The SCR will be responsible for, but not limited to, the following: Claim submission, Cirius Claims edits, Payment Posting, Cirius Charge edits, RFI edits and lockbox reconciliation. The SCR will also be responsible for all follow-up on receivables associated with commercial, government, contracted and managed care insurance payers. The SCR will answer and resolve patient concerns through phone calls routed through the ACD system. The SCR must have excellent customer service skills with emphasis on phone etiquette and courteousness. All tasks associated with Golden Gate OB/GYN will be initiated and completed within the CureMD computer system. This SCR deals regularly with complex policy and procedural issues that involve contract compliance with regard to HMO and PPO payers. It is the SCR's responsibility to communicate and coordinate with Golden Gate OB/GYN staff to ensure quality outcomes from all settings and situations associated with GG-OB/GYN.

The SCR's main task is to resolve all outstanding receivables through constant communication with the payers, patients, and other Golden Gate OB/GYN staff. All follow-up will be performed by accessing information by phone or through appropriate websites. The SCR will conform to all UCSF, MGBS, Golden Gate OB/GYN and Government HIPAA policies and procedures.

Duties to Include:

• Examines and evaluates accounts for appropriate follow-up action in a stratified manner by modified account balance as assigned in CureMD, to achieve weekly WIP (Work In Progress) goals
• Post payments, adjustments and lockbox reconciliation and any other posting requirements as needed in CureMD.
• Review of non-payment and/or incorrect payment for possible appeal
• Submit requests to GG OB/GYN via e-mail, phone calls or RFI (Request For Information) process and review response for appropriate action
• Review all information needed to validate correct credit balance and/or correct refund due
• Answer all ACD calls with calmness and courteousness and with an abandonment rate of less than 10%.
• Secure guarantor/patient demographic and /or insurance information as required
• Notify manager of possible procedural change for improving efficiency
• Attend department, unit, and other meetings as required

The final salary and offer components are subject to additional approvals based on UC policy.
To see the salary range for this position (we recommend that you make a note of the job code and use that to look up): TCS Non-Academic Titles Search (https://tcs.ucop.edu/non-academic-titles)
Please note: An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role.
For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range.
To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

Department Description

UCSF's Temporary Employment Program (TEP) recruits and hires temporary employees for immediate clerical and technical support services to UCSF Departments and various off-campus locations. UCSF departments deploy temporary employees to work on special projects, fill in for regular employees who are on vacation or leave, or to temporarily fill a vacant position during recruitment. Frequently temporary employees become successful candidates for career and limited appointment positions.

Required Qualifications

• At least 1 year of previous Insurance Follow up experience in a medical office or University setting
• High school graduation and four years of related administrative experience; or an equivalent
• combination of education and experience
• Demonstrate the Ability to communicate effectively (orally and written).
• Experience with MS Excel, Word and Outlook
• Effective time management and ability to meet deadlines
• Ability to work independently or as needed with a team
• Ability to meet productivity and quality standards
• Demonstrates positive attitude and excellent customer service skills
• Proven ability to coach and mentor staff for optimal results
• Ability to set priorities, goals and objectives
• Demonstrate the ability to perform all aspects of billing and follow-up with superior quality
• Excellent attendance record

Preferred Qualifications

• Bachelor's degree in related area and/or equivalent experience/training

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 at diversity.ucsf.edu

Join us to find a rewarding career contributing to improving healthcare worldwide.

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.

Organization

TEP

Job Code and Payroll Title

004621 COLL REPR SR

Job Category

Accounting / Finance, Administrative Support, Support Services, Temporary Employment

Bargaining Unit

Teamsters Local 2010 - Clerical and Allied Services Unit (CX)

Employee Class

Temporary Employment

Percentage

100%

Location

Emeryville, CA

Campus

Emeryville

Work Style

Hybrid

Shift

Days

Shift Length

8 Hours