UCLA Health System provides top-tier healthcare and cutting-edge medical technology to the Los Angeles, California, region and beyond. The academic medical cent
Commercial Hospital Collections Representative
Location
California
Posted
2 days ago
Salary
$27 - $39 / hour
Seniority
Senior
No structured requirement data.
Job Description
Commercial Hospital Collections Representative
UCLA Health System
Title: Commercial Hospital Collections Representative Location: Los Angeles United States Job Description: Onsite or Remote: Flexible Hybrid Work Schedule: Monday - Friday, 7:30 AM - 4:00 PM Salary Range: $27.65 - 39.27 Hourly Employment Type: 2 - Staff: Career Duration: Indefinite Job #: 27712 Primary Duties and Responsibilities Press space or enter keys to toggle section visibility As a Commercial Collections Representative, you will manage a designated portfolio of inpatient and outpatient claims, ensuring effective and efficient collection efforts. Your primary responsibilities include: - Conducting regular account reviews to identify outstanding balances. - Initiating and maintaining communication with third-party payers to resolve reimbursement discrepancies. - Diligently following up on claims to ensure timely resolution. - Communicate with insurance providers, patients, and internal departments to gather necessary information and resolve payment issues. Salary Range: $27.65 - $39.27 /hourly Job Qualifications Press space or enter keys to toggle section visibility We are seeking a self-directed, detail-oriented individual with: - High school diploma or GED; Minimum of 3 years of relevant experience, including at least 1 year in collections investigation - Experience in commercial and managed care collections, highly desired - Ability to interpret payer contracts and process contractual adjustments - In-depth knowledge of UB04 requirements and medical billing processes - Strong analytical skills and proven proficiency in Excel and spreadsheets - Understanding of collection techniques and laws, including AB1455, the Knox-Keene Act, Health & Safety Codes, etc., Familiarity with medical terminology, CPT codes, HCPCS codes, health networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations - Excellent verbal and written communication skills - Proficiency in Microsoft Office, especially Excel and Word - Exceptional organizational skills, with the ability to meet deadlines, work independently or as part of a team, and prioritize tasks effectively
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