Only the job description changed.
| Previous Job Description | Current Job Description | ||||
|---|---|---|---|---|---|
| n | 1 | Job Description: | n | ||
| 2 | A Senior Collections Representative Biller/Collector is responsible for both billing and collections | 1 | A Senior Collections Representative Biller/Collector is responsible for both billing and collections | ||
| > | , gathering and securing all information needed for billing, follow-up, and payment of accounts in a | > | , gathering and securing all information needed for billing, follow-up, and payment of accounts in a | ||
| > | ccordance with the specific payer guidelines, policies, procedures, and compliance regulations. A Bi | > | ccordance with the specific payer guidelines, policies, procedures, and compliance regulations. A Bi | ||
| > | ller/Collector is responsible for reviewing, correcting, and completing billings to ensure complete | > | ller/Collector is responsible for reviewing, correcting, and completing billings to ensure complete | ||
| > | and accurate billing of Medicare, Medi-cal, Managed Medicare/Medi-cal, and/or Other Government payer | > | and accurate billing of Medicare, Medi-cal, Managed Medicare/Medi-cal, and/or Other Government payer | ||
| > | s. A Biller/Collector calculates expected reimbursement to verify expected payments versus actual pa | > | s. A Biller/Collector calculates expected reimbursement to verify expected payments versus actual pa | ||
| > | yments received. A Biller/Collector files disputes with payers for denials and/or underpayments. A B | > | yments received. A Biller/Collector files disputes with payers for denials and/or underpayments. A B | ||
| > | iller/Collector is accountable and responsible for accurate billing and reconciling accounts to clos | > | iller/Collector is accountable and responsible for accurate billing and reconciling accounts to clos | ||
| > | ure. Senior Collections Representative Biller/Collector utilizes multiple databases and applications | > | ure. | ||
| > | to analyze and take appropriate action on information or documents received. Applications and Datab | ||||
| > | ases consist of: EPIC, Hospital Rates, CIRIUS, RevCyclePro, Imaging, DDE, and various payer websites | ||||
| > | . Frequent contact with Patient Financial Services staff, departments, and management, as well as pa | ||||
| > | tients, billing, professional fee and collection services vendors. | ||||
| 3 | 2 | ||||
| t | 4 | Department Description: | t | 3 | Senior Collections Representative Biller/Collector utilizes multiple databases and applications to |
| > | analyze and take appropriate action on information or documents received. Applications and Databases | ||||
| > | consist of: EPIC, Hospital Rates, CIRIUS, RevCyclePro, Imaging, DDE, and various payer websites. Fr | ||||
| > | equent contact with Patient Financial Services staff, departments, and management, as well as patien | ||||
| > | ts, billing, professional fee and collection services vendors. | ||||
| 5 | The Patient Financial Services Department plays a vital role in UCSF?s healthcare operations by mana | ||||
| > | ging patient billing, financial assistance, and payment processing. The department ensures that pati | ||||
| > | ents can navigate the financial aspects of their healthcare experience with ease and clarity, while | ||||
| > | also supporting UCSF?s revenue cycle and financial sustainability. | ||||
| 6 | |||||
| 7 | Qualifications: | ||||
| 8 | Required Qualifications - Four or more years of experience working in a hospital billing office envi | ||||
| > | ronment - High school diploma or GED certificate. - Must demonstrate an in-depth understanding of al | ||||
| > | l aspects of billing. For internal hires, one must be greater than that of an Office Assistant III a | ||||
| > | nd a Senior Collections Rep I - Knowledge of contracts, insurance billing requirements, UB04 claim f | ||||
| > | orms, Medicare, Medi-Cal and compliance program regulations. - Good analytical and organizational sk | ||||
| > | ills, interpersonal, verbal, and written communication skills. - Knowledge of computer operation, ke | ||||
| > | yboard functions, calculator, copier, and fax machine operation. - Adequate keyboard skills. - Proac | ||||
| > | tive and assertive account resolution skills. - Must be a motivated individual with a positive and e | ||||
| > | xceptional work ethic. - Ability to follow directions and written procedures. - Ability to balance a | ||||
| > | ssertiveness with compassion for the patient and others. - Must have a thorough understanding of CPT | ||||
| > | , ICD, DRG, and HCPC codes - Must have a thorough understanding of stop losses, per diems, carve-out | ||||
| > | s, and other contract terms and conditions. - Computer software skills (i.e. Microsoft Applications | ||||
| > | and E-mail, etc.). - The ability to work in Emeryville a min. of one day a week or more. Preferred Q | ||||
| > | ualifications - Medical terminology experience. - ICD, CPT4, HCPCS, DRG coding experience. - Underst | ||||
| > | anding of HIPAA rules and regulations | ||||