Medical Collector - PB Financial Services

Who We Are

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 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 qua ternary 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 (Use the "Apply for this Job" box below)..

Under the general supervision and direction of the Billing Manager, the incumbent is responsible for performing a critical function for the Physicians Billing Group (PBG) and its clientele by taking the appropriate billing, collections, or customer service actions to resolve an account. This requires an understanding of payer guidelines for Medicare, Medi‑Cal (and its affiliates), commercial insurance, workers compensation, and various other insurance carriers.

Depending on the unit the Collections Representative is assigned to, the incumbent may be required to perform any or all of the following duties: work billing editing error report(s) prior to the submittal of claims to ensure that claims are billed cleanly and free of errors, leading to prompt and maximum pro‑fee reimbursement; collect on insurance invoices/accounts with balances as generated and outlined on assigned account receivable worklists, aging reports, system target files and correspondence received and assigned.

• Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
• Must demonstrate customer service skills appropriate to the job
• Experience in medical professional fee billing to include Medi‑Cal, Medicare, MSI, Champus and commercial insurance carriers. Understanding of capitation and commercial HMO.
• Excellent written and verbal communication skills in English
• Effectively review and analyze patient account to effectively bill and/or collect revenue for professional medical services rendered
• Ability to maintain a work pace appropriate to the workload
• Ability to establish and maintain effective working relationships across the Health System
• Ability to achieve monthly productivity standards

• Working knowledge and experience with patient registration and authorization process
• Well‑developed verbal and written communication skills
• Possess knowledge of and skill in using payor websites to assess claim status or to follow‑up on collections process
• Knowledge of University and medical center organizations, policies, procedures and forms
• Experience with the Epic Billing System
• Experience in professional fee medical collections

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.

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

Details of each policy may be reviewed by visiting the following page:…