Accountants Receivable – Billing – Follow-Up Representative

Medical Group Enterprise Providers

Full Time

75232BR

Job Abstract

The Authorities, Business, Contract and Managed Care (CCMC) Models are answerable for the accounts receivable, billing, and follow-up of all authorities or business, contract and managed care payers.  The models deal frequently with advanced coverage and procedural points that contain contract compliance with regard to Medicare, Medi-Cal, CCS, HMO and PPO payers.  It’s the models’ obligations to speak and to coordinate all through varied UCSF Medical Middle departments, together with the UCSF billing brokers to make sure the standard of the college’s billing course of.  

Inside these models, the A/R – Billing – Comply with-up Representatives (Rep.’s) are answerable for billing and follow-up of presidency, business, contract and/or managed care accounts receivables for MGBS shoppers to incorporate the next:

• Demonstrates the power to carry out all side of billing and follow-up with high quality. 
• Resolve all excellent insurance coverage accounts by fixed communication with the payers (by telephone or by way of internet entry), different MGBS models, UCSF medical departments and billing brokers. 

When resolving the accounts receivables; the Rep.’s are required to:

• Adhere to the MGBS SRG (Scenario Response Information) to make sure consistency with the follow-up and documentation processes and to keep up good high quality work.  
• Meet minimal productiveness requirements and high quality expectations of their models. 
• Attend and be engaged in unit and staff conferences geared toward growing information.  
• Make the most of internet based mostly instruments, together with payor web sites and the RMS web site previous to calling payors and conform to all UCSF, MGBS, authorities and HIPAA insurance policies and procedures.

The ultimate wage and supply parts are topic to further approvals based mostly on UC coverage.  To see the wage vary for this place (we advocate that you simply make a remark of the job code and use that to lookup):

TCS Non-Educational Titles Search (ucop.edu)

Please word: The compensation ranges listed on-line for roles not lined by a bargaining unit settlement are very broad, nevertheless a job supply will sometimes fall within the vary of 80% – 120% of the established mid-point. A suggestion will think about the expertise of the ultimate candidate AND the present wage degree of people working at UCSF in an analogous function.  For roles lined by a bargaining unit settlement, there can be particular guidelines about the place a brand new rent can be positioned on the vary.  To be taught extra about the advantages of working at UCSF, together with whole compensation, please go to: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html

Required {Qualifications}

• Excessive Faculty Diploma or GED
• A number of years of Insurance coverage Comply with up expertise. 
• Expertise with Denials Administration
• Expertise with MS Workplace. 
• Data of CPT and ICD-10
• Display the power to carry out all elements of billing and follow-up with superior high quality. 
• Potential to set and meet priorities, targets and goals.
• Efficient Time Administration and Potential to Meet Deadlines
• Potential to work independently or as wanted with a staff. 
• Potential to fulfill productiveness and high quality requirements. 
• Demonstrates a constructive angle and glorious customer support expertise. 
• Confirmed capability to educate and mentor employees for optimum outcomes,
• Glorious Attendance Report. 
• Glorious communication expertise (verbal & written).
• The power to work on-site in our Emeryville workplace when wanted.

Most well-liked {Qualifications}

• Prior working information of the EPIC (Apex) system, particularly PB or HB Insurance coverage Comply with up Module(s). 
• Licensed Procedural Coder (CPC)
• Affiliate’s Diploma or larger 

About UCSF

At UCSF Well being, our mission of modern affected person care, superior expertise and pioneering analysis is redefining what’s doable for the sufferers we serve – a promise we share with the professionals who make up our staff.

Constantly ranked among the many prime 10 hospitals nationwide by U.S. Information & World Report – UCSF Well being is dedicated to offering essentially the most rewarding work expertise whereas delivering one of the best care obtainable anyplace. In an atmosphere that permits for steady studying and alternatives for skilled progress, UCSF Well being presents the perfect ambiance by which to greatest use your expertise and abilities.

Pleasure Values

UCSF is a various neighborhood made of individuals with many expertise and abilities. We search candidates whose work expertise or neighborhood service has ready them to contribute to our dedication to professionalism, respect, integrity, variety and excellence – also referred to as our PRIDE values.

Along with our PRIDE values, UCSF is dedicated to fairness – each in how we ship care in addition to our workforce. We’re dedicated to constructing a broadly numerous neighborhood, nurturing a tradition that’s welcoming and supportive, and fascinating numerous concepts for the supply of culturally competent schooling, discovery, and affected person care. Further details about UCSF is on the market at variety.ucsf.edu

Be part of us to discover a rewarding profession contributing to enhancing healthcare worldwide.

Equal Employment Alternative

The College of California San Francisco is an Equal Alternative/Affirmative Motion Employer. All certified candidates will obtain consideration for employment with out regard to race, coloration, faith, intercourse, sexual orientation, gender id, nationwide origin, age, protected veteran or disabled standing, or genetic data.

Job Code and Payroll Title

004621 COLL REPR SR

Job Class

Accounting / Finance, Help Providers

Bargaining Unit

Teamsters Native 2010 – Clerical and Allied Providers Unit (CX)

Location

Emeryville, CA, Versatile (mixture of onsite and distant work), Hybrid

Further Shift Particulars

Monday – Friday