Senior Collections Representative aka Follow up Representative
UCSF Health, Emeryville, California, United States, 94608
Job Summary
Government, Commercial, Contract, and Managed Care (CCMC) unit within MGBS manages accounts receivable, billing, and follow‑up with contracted payers. This includes navigating complex policy and compliance requirements to ensure adherence to payer contracts. The unit partners closely with UCSF Medical Center departments and billing agents to safeguard the quality and accuracy of the university’s billing processes.
Senior Collections Representative – Team Lead The Senior Collections Representative – Team Lead provides oversight of billing and follow‑up activities for accounts receivable across MGBS clients. This role requires strong technical knowledge of payer requirements and the ability to resolve outstanding insurance accounts through proactive communication with payers, MGBS units, UCSF clinical departments, and billing agents.
As a team lead, the incumbent monitors staff production and quality, ensures adherence to the MGBS Situation Response Guide (SRG), manages escalation work queues (WQs), and serves as a resource for resolving complex issues. The Team Lead triages unresolved payer problems to the supervisor when appropriate, reports payer trends or delays when standard pathways cannot resolve issues, and may distribute daily/weekly workloads or support denial management projects in collaboration with the supervisor. The Lead function does not have staff reporting directly to him or her but acts as a resource within the unit to maintain production oversight, timecard accuracy, and quality validation.
In addition, the Team Lead supports staff development by providing training, coaching, and serving as a resource for escalated or complex issues. The role participates actively in unit and team meetings, contributes to process improvement initiatives, and ensures compliance with UCSF, MGBS, government, and HIPAA policies and procedures.
Remuneration Hourly rate of pay is $34.20 – $49.06. Final salary and offer components are subject to additional approvals based on UC policy and internal equity. For positions represented by a labor union, placement within the salary range will be guided by the collective bargaining agreement. To learn more about benefits and total compensation, visit the UCSF compensation and benefits page.
Required Qualifications
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.
Ability to work onsite in the Emeryville office.
Preferred Qualifications
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.
License / Certification Preferred: Certified Professional Coder (CPC) or equivalent certification.
About UCSF UCSF Health focuses on innovative patient care, advanced technology, and pioneering research. The institution ranks among the top 10 hospitals nationwide and offers a rewarding work experience with opportunities for professional growth.
Pride Values UCSF values professionalism, respect, integrity, diversity, and excellence (PRIDE). The organization commits to equity and diversity in workforce and patient care.
Equal Employment Opportunity The University of California is an Equal Opportunity 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 status under state or federal law.
Job Details Job Code: 004621. Job Title: Senior Collections Representative – Team Lead. Location: Emeryville, CA. Campus: Emeryville. Work style: Flexible. Shift: Days, 8 Hours, Monday‑Friday. Percentage: 100%. Employment Class: Career. Category: Accounting / Finance, Financial, Support Services. Bargaining Unit: Teamsters Local 2010 - Clerical and Allied Services Unit (CX). Organization: Health.
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Senior Collections Representative – Team Lead The Senior Collections Representative – Team Lead provides oversight of billing and follow‑up activities for accounts receivable across MGBS clients. This role requires strong technical knowledge of payer requirements and the ability to resolve outstanding insurance accounts through proactive communication with payers, MGBS units, UCSF clinical departments, and billing agents.
As a team lead, the incumbent monitors staff production and quality, ensures adherence to the MGBS Situation Response Guide (SRG), manages escalation work queues (WQs), and serves as a resource for resolving complex issues. The Team Lead triages unresolved payer problems to the supervisor when appropriate, reports payer trends or delays when standard pathways cannot resolve issues, and may distribute daily/weekly workloads or support denial management projects in collaboration with the supervisor. The Lead function does not have staff reporting directly to him or her but acts as a resource within the unit to maintain production oversight, timecard accuracy, and quality validation.
In addition, the Team Lead supports staff development by providing training, coaching, and serving as a resource for escalated or complex issues. The role participates actively in unit and team meetings, contributes to process improvement initiatives, and ensures compliance with UCSF, MGBS, government, and HIPAA policies and procedures.
Remuneration Hourly rate of pay is $34.20 – $49.06. Final salary and offer components are subject to additional approvals based on UC policy and internal equity. For positions represented by a labor union, placement within the salary range will be guided by the collective bargaining agreement. To learn more about benefits and total compensation, visit the UCSF compensation and benefits page.
Required Qualifications
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.
Ability to work onsite in the Emeryville office.
Preferred Qualifications
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.
License / Certification Preferred: Certified Professional Coder (CPC) or equivalent certification.
About UCSF UCSF Health focuses on innovative patient care, advanced technology, and pioneering research. The institution ranks among the top 10 hospitals nationwide and offers a rewarding work experience with opportunities for professional growth.
Pride Values UCSF values professionalism, respect, integrity, diversity, and excellence (PRIDE). The organization commits to equity and diversity in workforce and patient care.
Equal Employment Opportunity The University of California is an Equal Opportunity 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 status under state or federal law.
Job Details Job Code: 004621. Job Title: Senior Collections Representative – Team Lead. Location: Emeryville, CA. Campus: Emeryville. Work style: Flexible. Shift: Days, 8 Hours, Monday‑Friday. Percentage: 100%. Employment Class: Career. Category: Accounting / Finance, Financial, Support Services. Bargaining Unit: Teamsters Local 2010 - Clerical and Allied Services Unit (CX). Organization: Health.
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