Sr. Collections Repr

UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.

To learn more about UCI Health, visit www.ucihealth.org.

Position Summary:

The Sr./Lead Collections Representative is an advanced level in this series demonstrating competency in all duties typically performed by a Collections Representative. This position functions with limited supervision, independently managing and resolving more complex, higher level accounts and transactions in a timely manner, taking the appropriate billing, collections, or customer service actions to resolve an account. This position will also serve as a Lead and knowledgeable specialist, acting as a role model and valued resource and coach to other staff, assisting with more difficult accounts, troubleshooting, and providing advice, direction, and support to the team. May be assigned to a specialized area of PB Financial Services requiring advanced knowledge and will respond to questions from patients, physicians, payers and others to include attorneys regarding the status of accounts. Trains staff and assists supervisor in assessing staff competencies. Works on special projects and other assignments as needed.

Required Qualifications:

• Strong math skills to perform a variety of calculations related to patient accounting
• Strong ability to analyze, think critically, and problem solve
• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must demonstrate customer service skills appropriate to the job
• Minimum 5 years' experience in collections in outpatient and hospital setting
• Excellent written and verbal communication skills in English
• Excellent understanding of capitation and commercial HMO
• Demonstrated strong listening, collaboration, and team-orientation skills
• Demonstrated ability to achieve monthly productivity standards
• Demonstrated ability as a trusted resource to co-workers and staff on problematic and/or difficult accounts
• Advanced knowledge of revenue cycle processes gained from previous related work experience in a healthcare setting
• Advanced knowledge in medical professional fee billing to include Medi-Cal, Medicare, MSI, Champus, and commercial insurance carriers
• Advanced ability to review and analyze patient account to effectively bill and/or collect revenue for professional medical services rendered
• Ability to resolve routine and non-routine matters independently
• Ability to maintain a work pace appropriate to the workload
• Ability to establish and maintain effective working relationships across the Health System

Preferred Qualifications:

• Prior experience as a lead
• Knowledge of University and medical center organizations, policies, procedures and forms

Total Compensation

We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

• Background Check and Live Scan
• Employment Misconduct*
• Legal Right to Work in the United States
• Vaccination Policies
• Smoking and Tobacco Policy
• Drug Free Environment

*Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.

• California Child Abuse and Neglect Reporting Act
• E-Verify
• Pre-Placement Health Evaluation

Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php

Closing Statement:

The University of California, Irvine 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, disability, age, protected veteran status, or other protected categories covered by the UC nondiscrimination policy.

We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.

UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.