University of California San Francisco
Collections Follow Up Representative
University of California San Francisco, San Francisco, California, United States, 94199
Overview
The anticipated duration of this assignment is approximately six months. It will include optional medical coverage, holiday pay and sick leave accrual. After initial training, on-site presence in Emeryville is required 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 handle, but is not limited to, the following: claim submission, Cirius Claims edits, payment posting, Cirius Charge edits, RFI edits and lockbox reconciliation. The SCR will also manage all follow-up on receivables for commercial, government, contracted and managed care insurance payers. The SCR will respond to and resolve patient concerns via phone calls routed through the ACD system. The SCR must demonstrate excellent customer service skills with strong phone etiquette and courtesy. All tasks related to Golden Gate OB/GYN will be initiated and completed within the CureMD computer system. This SCR frequently deals with complex policy and procedural issues involving contract compliance for HMO and PPO payers. It is the SCR's responsibility to communicate and coordinate with Golden Gate OB/GYN staff to ensure quality outcomes across all settings and situations related to GG-OB/GYN. The SCR\'s primary task is to resolve all outstanding receivables through consistent communication with payers, patients, and Golden Gate OB/GYN staff. Follow-up will be performed by telephone or through appropriate websites. The SCR will comply with UCSF, MGBS, Golden Gate OB/GYN and Government HIPAA policies and procedures. Duties
Examines and evaluates accounts for appropriate follow-up action in a stratified manner by modified account balance as assigned in CureMD, to achieve weekly Work In Progress (WIP) goals Post payments, adjustments, lockbox reconciliation and any other posting requirements as needed in CureMD Review 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 courtesy, aiming for an abandonment rate below 10% Secure guarantor/patient demographic and/or insurance information as required Notify manager of possible procedural changes 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, note the job code and search UCSC non-academic titles (the link is provided by the employer): tcs.ucop.edu/non-academic-titles. Offers will consider the experience of the final candidate and the current salary level of UCSF staff in similar roles. 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 the UC compensation and benefits site (text link provided by the employer).
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The anticipated duration of this assignment is approximately six months. It will include optional medical coverage, holiday pay and sick leave accrual. After initial training, on-site presence in Emeryville is required 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 handle, but is not limited to, the following: claim submission, Cirius Claims edits, payment posting, Cirius Charge edits, RFI edits and lockbox reconciliation. The SCR will also manage all follow-up on receivables for commercial, government, contracted and managed care insurance payers. The SCR will respond to and resolve patient concerns via phone calls routed through the ACD system. The SCR must demonstrate excellent customer service skills with strong phone etiquette and courtesy. All tasks related to Golden Gate OB/GYN will be initiated and completed within the CureMD computer system. This SCR frequently deals with complex policy and procedural issues involving contract compliance for HMO and PPO payers. It is the SCR's responsibility to communicate and coordinate with Golden Gate OB/GYN staff to ensure quality outcomes across all settings and situations related to GG-OB/GYN. The SCR\'s primary task is to resolve all outstanding receivables through consistent communication with payers, patients, and Golden Gate OB/GYN staff. Follow-up will be performed by telephone or through appropriate websites. The SCR will comply with UCSF, MGBS, Golden Gate OB/GYN and Government HIPAA policies and procedures. Duties
Examines and evaluates accounts for appropriate follow-up action in a stratified manner by modified account balance as assigned in CureMD, to achieve weekly Work In Progress (WIP) goals Post payments, adjustments, lockbox reconciliation and any other posting requirements as needed in CureMD Review 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 courtesy, aiming for an abandonment rate below 10% Secure guarantor/patient demographic and/or insurance information as required Notify manager of possible procedural changes 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, note the job code and search UCSC non-academic titles (the link is provided by the employer): tcs.ucop.edu/non-academic-titles. Offers will consider the experience of the final candidate and the current salary level of UCSF staff in similar roles. 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 the UC compensation and benefits site (text link provided by the employer).
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