Medical Group Business Services

Full Time

76891BR

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 concerning Medicare, Medi-Cal, CCS, HMO, and PPO payers. It is the units' responsibility to communicate and 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 receivables 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 receivables; 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.

Required Qualifications

• High School Diploma or GED
• One year or more years of Insurance Follow-up experience.
• Experience with Denials Management
• Demonstrate the Ability to communicate effectively (orally and written).
• Knowledge of CPT and ICD-10Experience with MS EXCEL and OUTLOOK.
• Ability to work independently or as needed with a team.
• Ability to meet productivity and quality standards.
• Demonstrates a 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.
• Effective Time Management and Ability to Meet Deadlines
• Excellent Attendance Record.
• The ability to work in our Emeryville office when needed.

Preferred Qualifications

• Prior working knowledge of the EPIC (Apex) system, especially PB or HB Insurance Follow up Module(s).
• Certified Procedural Coder (CPC)
• High School Graduate or GED equivalency
• Associates or Bachelor's Degree

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

Join us to find a rewarding career contributing to improving healthcare worldwide.

Equal Employment Opportunity

The University of California San Francisco is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Organization

Health

Job Code and Payroll Title

004621 COLL REPR SR

Job Category

Accounting / Finance, Administrative Support, Financial, Support Services

Bargaining Unit

Teamsters Local 2010 - Clerical and Allied Services Unit (CX)

Employee Class

Career

Percentage

100%

Location

Emeryville, CA, Flexible (combination of onsite and remote work), Hybrid

Shift

Days

Shift Length

8 Hours