We are seeking a self-directed, detail-oriented individual with:
High school diploma or General Education Diploma (GED).
Five or more years of progressive experience in collections, including extensive expertise in complex collections investigations and resolution.
Thorough understanding of UB04 requirements and advanced knowledge of medical billing processes.
Ability to interpret and apply payer contracts, skillfully negotiate payment terms, and successfully process contractual adjustments.
Advanced proficiency in analytical tools and software, particularly Excel/spreadsheets, for detailed data analysis and reporting.
Deep knowledge of collection techniques, laws, and regulations, including AB1455, Knox-Keene Act, Health & Safety Codes, and other relevant statutes
Extensive familiarity with medical terminology, CPT codes, HCPCS codes, and diverse healthcare networks such as IPAs, HMOs, PPOs, PCPs, and contract affiliations
Exceptional verbal and written communication skills, adept at effectively communicating with diverse stakeholders and presenting complex information in a clear and concise manner.
Advanced proficiency in the Microsoft Office suite, specifically Excel and Word.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Accounting/Auditing and Finance
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at UCLA Health by 2x