Description
UCLA HEALTH
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Description
UCLA Health is seeking a Senior Cross-Functional Collections
Representative to support Patient Business Services by managing a diverse
portfolio of complex accounts. In this role, you will lead proactive
reimbursement efforts, support training for new staff, and collaborate across
teams to improve workflows and maximize collections. This position plays a
critical role in ensuring timely resolution of outstanding claims and
contributes to the overall financial success of the organization.
In this role, you will:
- Manage
an assigned portfolio of accounts across payer types, executing complex
claim reviews, resolving payment delays, and optimizing collections
strategy - Conduct
detailed analysis of aged accounts and payment discrepancies, including
preparing documentation for escalations or referrals - Communicate
with payers, departments, and patients to obtain missing documentation,
clarify benefits, and resolve reimbursement issues - Make
financial adjustments and rebill claims as needed, ensuring compliance
with contract terms and payer policies - Maintain
thorough documentation in CareConnect and ensure workflows are supported
by accurate case notes - Support
onboarding and training for new team members, providing guidance on
policies, systems, and effective resolution techniques - Assist
with special projects, stay current on industry changes, and contribute to
workflow enhancements
Salary Range: $33.27 – $47.77 hourly
Qualifications
We’re looking for a skilled and experienced collections
professional with:
- Minimum
of five years of progressive experience in billing and collections across
payer types (government, commercial, managed care) - Strong
understanding of reimbursement regulations, payer contracts, medical
terminology, and confidentiality compliance - Proven
ability to resolve complex claims, process adjustments, and manage appeals
effectively - Proficiency
in Epic or similar billing systems, with strong skills in spreadsheets and
account management tools - Excellent
communication and negotiation skills, with experience collaborating across
departments and training others - Strong
organizational skills and the ability to manage multiple priorities
independently in a fast-paced setting - High
school diploma or GED required