Senior Collections Representative (Credit Balance)
UCLA Outpatient Clinics, Los Angeles, CA, United States
Description
Patient Business Services
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:
Review 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.
Follow refund and reimbursement procedures and, after researching credit balances.
Prepare and process refund packets.
Salary Range:
$33.27 – $47.77 hourly
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In this role, you will:
Review 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.
Follow refund and reimbursement procedures and, after researching credit balances.
Prepare and process refund packets.
Salary Range:
$33.27 – $47.77 hourly
#J-18808-Ljbffr