Senior Collections Representative aka Follow up Representative
Medical Group Business Services Job Summary The Government, Commercial, Contract, and Managed Care (CCMC) Units are responsible for the accounts receivable, billing, and follow-up of all government or commercial, contract, and managed care payers. The units deal regularly with complex policy and procedural issues that involve contract compliance with regard to Medicare, Medi-Cal, CCS, HMO, and PPO payers. It is the units' responsibilities to communicate and to coordinate throughout various UCSF Medical Center departments, including the UCSF billing agents. to ensure the quality of the university's billing process.
Within these units, the Follow-Up Representatives are responsible for billing and follow-up of government, commercial, contract, and/or managed care accounts receivable for MGBS clients. The incumbent demonstrates the ability to perform all aspects of billing and follow-up with quality. The incumbent's main task is to resolve all outstanding insurance accounts through constant communication with the payers (by phone or via web access), other MGBS units, UCSF clinical departments, and billing agents.
When resolving the accounts receivable, the Follow-Up Representative must adhere to the MGBS SRG (Situation Response Guide) to ensure consistency with the follow-up and documentation processes and to maintain good quality work. The Follow-up Representative must meet minimum productivity standards and quality expectations of their units. The Follow-up Representative must attend and be engaged in unit and team meetings aimed at increasing knowledge. The incumbent will utilize web-based tools, including payor websites and the RMS website, before calling payors. The incumbent will conform to all UCSF, MGBS, government, and HIPAA policies and procedures.
The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors, including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement. The hourly rate of pay $34.20 - $49.06 To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html Required Qualifications
- High school diploma or GED.
- One year or more of previous Insurance Follow up experience.
- Demonstrate the ability to communicate effectively (orally and in writing).
- Knowledge of CPT and ICD-10
- Experience With Denials Management
- Experience with MS EXCEL 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.
- The ability to work onsite in our Emeryville office.
Preferred Qualifications
- Associate's degree or higher.
- Prior working knowledge of the EPIC (Apex) system, especially PB or HB Insurance Follow up Module(s).
License/Certification Preferred: Certified Procedural Coder (CPC) equivalency. About UCSF At UCSF Health, our mission of innovative patient care, advanced technology and pioneering research is redefining what's possible for the patients we serve - a promise we share with the professionals who make up our team.
Consistently ranked among the top 10 hospitals nationwide by U.S. News & World Report - UCSF Health is committed to providing the most rewarding work experience while delivering the best care available anywhere. In an environment that allows for continuous learning and opportunities for professional growth, UCSF Health offers the ideal atmosphere in which to best use your skills and talents. 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 is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. Job Code and Payroll Title 004621 COLL REPR SR Job Category Accounting / Finance, Financial, Support Services Bargaining Unit Teamsters Local 2010 - Clerical and Allied Services Unit (CX) Additional Shift Details Monday - Friday |
University of California - San Francisco Campus and Health
Nov 20, 2025