UCSF Health · 14 hours ago
Senior Collections Representative aka Follow up Representative
Emeryville, CA
Full-time
Onsite
Mid, Senior Level
$34.20/hr - $49.06/hr
3+ years expUCSF Health is a leading healthcare institution committed to innovative patient care and advanced research. They are seeking a Senior Collections Representative to oversee billing and follow-up activities for accounts receivable, ensuring compliance with payer contracts and supporting staff development through training and coaching.
BiotechnologyEducationHealth CareHospitalMedical
Responsibilities
Provide oversight of billing and follow-up activities for accounts receivable across MGBS clients
Resolve outstanding insurance accounts through proactive communication with payers, MGBS units, UCSF clinical departments, and billing agents
Monitor staff production and quality, ensuring adherence to the MGBS Situation Response Guide (SRG)
Manage escalation work queues (WQs) and serve as a resource for resolving complex issues
Triage unresolved payer problems to the supervisor when appropriate
Report payer trends or delays when standard pathways cannot resolve issues
Distribute daily/weekly workloads to guide staff focus or support denial management projects in collaboration with the supervisor
Support staff development by providing training, coaching, and serving as a resource for escalated or complex issues
Participate actively in unit and team meetings and contribute to process improvement initiatives
Ensure compliance with UCSF, MGBS, government, and HIPAA policies and procedures
Qualification
Required
High School Diploma or GED
Three or more years of insurance follow-up experience in healthcare revenue cycle (commercial payer focus preferred)
Consistent record of professionalism, reliability, and excellent customer service
Proficiency in CPT, ICD-10, HCPCS, and modifiers
Demonstrated denials management and appeals experience
Strong communication skills (oral and written)
Proficiency in Microsoft Outlook and Excel (basic functions)
Ability to meet productivity/quality standards; effective time management and to coach/mentor staff and work collaboratively with peers and supervisors
The ability to work onsite in our Emeryville office
Preferred
Associate's degree or higher education in Health Administration, Business, or related field
Prior working knowledge of Epic (Apex) Professional Billing (PB) system and work queues
Direct experience with surgical billing, commercial payer rules, and prior authorizations
Strong skills in advanced Excel reporting/analytics (pivot tables, payer trend tracking)
Previous experience in a lead, trainer, or mentoring role within professional billing
Preferred: Certified Professional Coder (CPC) or equivalent certification
Company
UCSF Health
UCSF Health offers healthcare services in the areas of cancer, heart disorders, neurological disorders, organ transplants, and more.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Elizabeth Engel
Vice President and Chief of Staff to the CEO
Suresh Gunasekaran
President & Chief Executive Officer
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