Senior Collections Representative (Credit Balance)
UCLA Health, Los Angeles, CA, United States
Senior Collections Representative (Credit Balance)
Join a team dedicated to financial integrity and operational excellence at UCLA Health. As a Senior Collections Representative (Credit Balance) in our Patient Business Services department, you will bring advanced expertise to the resolution of complex, high-dollar, and aged credit balance accounts. This role is central to protecting revenue accuracy and ensuring compliance across payer types, while serving as a subject matter resource for colleagues and cross-functional partners. In this role, you will: Reviewing inpatient and outpatient claims/balances to ensure maximum collection dollars by providing appropriate follow-up and documenting actions taken. Investigate and resolve complex, aged, and high-value credit balances, including the processing of refunds and adjustments across all liability categories, regardless of service line. Manage and respond to written correspondence and maintain a high volume of telephone communication to ensure timely follow-up, accurate account resolution, and adherence to organizational standards. Analyze root causes including duplicate payments, coordination of benefits errors, and contractual discrepancies, and document detailed findings and actions within patient accounting systems. Following refund and reimbursement procedures and, after researching credit balances. Prepare and process refund packets. Salary Range: $33.27
$47.77 hourly Job Qualifications
We're seeking an experienced revenue cycle professional with: High school diploma or equivalent combination of education and experience. Minimum of 5 years of experience in hospital billing, collections, or credit balance resolution. Advanced knowledge of billing and collections processes across payer types. Ability to interpret payer contracts and negotiate resolution within contractual guidelines. Skill in evaluating complex account data and identifying systemic issues. Knowledge of healthcare regulations and confidentiality requirements, including HIPAA. Proficiency with patient accounting and billing systems. Strong written communication skills for documenting complex account findings. Ability to collaborate effectively across departments to resolve complex issues. Proficiency in Excel and analytical tools for data review and reporting. Familiarity with medical terminology and coding concepts is preferred.
Join a team dedicated to financial integrity and operational excellence at UCLA Health. As a Senior Collections Representative (Credit Balance) in our Patient Business Services department, you will bring advanced expertise to the resolution of complex, high-dollar, and aged credit balance accounts. This role is central to protecting revenue accuracy and ensuring compliance across payer types, while serving as a subject matter resource for colleagues and cross-functional partners. In this role, you will: Reviewing inpatient and outpatient claims/balances to ensure maximum collection dollars by providing appropriate follow-up and documenting actions taken. Investigate and resolve complex, aged, and high-value credit balances, including the processing of refunds and adjustments across all liability categories, regardless of service line. Manage and respond to written correspondence and maintain a high volume of telephone communication to ensure timely follow-up, accurate account resolution, and adherence to organizational standards. Analyze root causes including duplicate payments, coordination of benefits errors, and contractual discrepancies, and document detailed findings and actions within patient accounting systems. Following refund and reimbursement procedures and, after researching credit balances. Prepare and process refund packets. Salary Range: $33.27
$47.77 hourly Job Qualifications
We're seeking an experienced revenue cycle professional with: High school diploma or equivalent combination of education and experience. Minimum of 5 years of experience in hospital billing, collections, or credit balance resolution. Advanced knowledge of billing and collections processes across payer types. Ability to interpret payer contracts and negotiate resolution within contractual guidelines. Skill in evaluating complex account data and identifying systemic issues. Knowledge of healthcare regulations and confidentiality requirements, including HIPAA. Proficiency with patient accounting and billing systems. Strong written communication skills for documenting complex account findings. Ability to collaborate effectively across departments to resolve complex issues. Proficiency in Excel and analytical tools for data review and reporting. Familiarity with medical terminology and coding concepts is preferred.