Hospital PVU Collections Representative

University of California - Los Angeles Health
United States, California, Los Angeles
Feb 19, 2025
Description As a PVU Follow-Up Collection Representative, you will manage a portfolio of assigned accounts, typically high balance, aged, or complex accounts. Your primary responsibilities include: Reviewing inpatient and outpatient claims to ensure maximum collection efforts. Providing timely follow-up and documenting actions taken to resolve claims. Responding to correspondence and handling heavy telephone contact to facilitate account resolution. Assisting in the training of Follow-Up Collection Representatives and being a resource for Collection Representatives. Performing all duties within the patient accounting systems to ensure accurate and efficient account management. Salary Range: $26.79 - $38.05/hourly Qualifications We are seeking a self-directed, detail-oriented individual with: High school diploma or GED; Minimum of 3 years of relevant experience, including at least 1 year in collections investigation Experience in commercial and managed care collections, highly desired Ability to interpret payer contracts and process contractual adjustments In-depth knowledge of UB04 requirements and medical billing processes Strong analytical skills and proven proficiency in Excel and spreadsheets Understanding of collection techniques and laws, including AB1455, the Knox-Keene Act, Health & Safety Codes, etc., Familiarity with medical terminology, CPT codes, HCPCS codes, health networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations Excellent verbal and written communication skills Proficiency in Microsoft Office, especially Excel and Word Exceptional organizational skills, with the ability to meet deadlines, work independently or as part of a team, and prioritize tasks effectively