Collections Follow Up Representative

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.
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• 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

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