Senior Collection Representative
Job Description
The SBO Customer Service and Self-Pay Collections Representative negotiates prompt payment discounts and sets up payment plans according to departmental guidelines at the guarantor level. Applies working knowledge of UCSF Health’s various discount and charity policies.
Recommends accounts for collection agencies assignment or withdrawal. The representative in this team has frequent contact with patients, Patient Financial Services staff, clinic and hospital staff, management, and managers, as well as billing and professional fee, and collection services vendors.
Responsible for responding to and following up on patients’ high-dollar outstanding accounts receivable in a courteous and timely manner. Demonstrates the ability to process all customer service inquiries and to perform all aspects of follow-up with quality, compassion, and assertiveness. Conforms to all UCSF Health, government, and HIPAA policies and procedures.
SBO Customer Service Customer Service and Self-Pay Collections Representatives utilize multiple databases and applications to analyze and take appropriate action on information or documents received. Applications and Databases consist of Epic, Emdeon eCashiering, MS Outlook, MS Excel, Hospital Rates, Cirius, Imaging, MyQuote, Medi-Cal, Medicare, and other payer websites, SMS/LDA, IDX/LDA.
Requirements:
High school diploma or GED
One or more years of experience in a hospital billing, physician billing, or payor office environment or equivalent combination of education, training, and applicable customer service experience.
Must demonstrate an in-depth understanding of all aspects of billing procedures consistent with those performing insurance follow-up activities in both hospital and professional billing environments.
Developing knowledge of contracts, insurance billing requirements, UB04 and HCFA 1500 claim forms, Workers’ Compensation, HMOs, PPOs, capitation, Medicare, Medi-Cal, and compliance program regulations.
Thorough understanding of HIPAA rules and regulations.
Excellent interpersonal, verbal, and written communication skills in a highly-paced, complaint-focused environment.
Ability to demonstrate cultural sensitivity and a respectful, courteous, and professional manner in all interactions.
Ability to balance assertiveness with compassion, empathy, and patience for the patient and others.
Good analytical and organizational skills.
Must be a motivated individual with a positive and exceptional work ethic.
Ability to follow directions and written procedures.
Thorough knowledge of computer operation, keyboard functions, calculator, copier, and fax machine operation with standard keyboard skills.
Computer software skills (i.e. Microsoft Applications and E-mail, etc.)
The ability to work onsite in our Emeryville office.
Preferences:
Bachelor’s Degree
Prior work experience in a customer service or call center environment. Working knowledge of electronic billing systems, preferably EPIC.
Demonstrate a good understanding of all aspects of billing procedures consistent with those performing insurance follow-up activities in both hospital and professional billing environments.
Working understanding of stop losses, per diems, carve-outs, and other contract terms and conditions.
Requirements:
High school diploma or GED
One or more years of experience in a hospital billing, physician billing, or payor office environment or equivalent combination of education, training, and applicable customer service experience.
Must demonstrate an in-depth understanding of all aspects of billing procedures consistent with those performing insurance follow-up activities in both hospital and professional billing environments.
Developing knowledge of contracts, insurance billing requirements, UB04 and HCFA 1500 claim forms, Workers’ Compensation, HMOs, PPOs, capitation, Medicare, Medi-Cal, and compliance program regulations.
Thorough understanding of HIPAA rules and regulations.
Excellent interpersonal, verbal, and written communication skills in a highly-paced, complaint-focused environment.
Ability to demonstrate cultural sensitivity and a respectful, courteous, and professional manner in all interactions.
Ability to balance assertiveness with compassion, empathy, and patience for the patient and others.
Good analytical and organizational skills.
Must be a motivated individual with a positive and exceptional work ethic.
Ability to follow directions and written procedures.
Thorough knowledge of computer operation, keyboard functions, calculator, copier, and fax machine operation with standard keyboard skills.
Computer software skills (i.e. Microsoft Applications and E-mail, etc.)
The ability to work onsite in our Emeryville office.
Preferences:
Bachelor’s Degree
Prior work experience in a customer service or call center environment. Working knowledge of electronic billing systems, preferably EPIC.
Demonstrate a good understanding of all aspects of billing procedures consistent with those performing insurance follow-up activities in both hospital and professional billing environments.
Working understanding of stop losses, per diems, carve-outs, and other contract terms and conditions.