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UCLA Health Hospital Collections Refund/Credit Supervisor in Los Angeles, California

Responsibilities

Take on a significant leadership role within a world-class health organization. Elevate the operational and financial effectiveness of a complex health system. Take your professional expertise to the next level. UCan do all this and more at UCLA Health.

In this key position supporting all three UCLA Health hospitals, you will be responsible for the timely and accurate management of insurance overpayment requests for both inpatient and outpatient receivables. You will also oversee the effective processing of insurance credit balances, ensuring full compliance with all state, federal and contractual regulations. You will:

  • Implement ongoing process improvements

  • Collaborate closely with Managed Care Contracting, PBS, Patient Access, Revenue Integrity and Coding teams

  • Assist with contract management issues

  • Manage and train a team of collection representativesandclerical staff

  • Maintain account escalations for resolving difficult cases

  • Take on projects assigned by the Assistant Director of Collections and the Revenue Cycle Director

  • Represent department in internal and external meetings

  • Prepare Medicare quarterly 838 reports

  • Manage Medi-Cal credit balance audits and insurance liability bulks

  • Make recommendations for improving technologies, work flows, etc.

Qualifications

We're seeking a self-motivated individual with:

  • Three or more years of hospital billing and collection management experience

  • Experience working in unionized environments preferred

  • Exceptional communication skills

  • In-depth knowledge of managed care payer regulations

  • Understanding of Medicare, Medi-Cal, CCS, Workers Comp and other government payer regulations

  • Proven ability to skillfully interpret payer contracts

  • Proficiency with Microsoft Office

UCLA Health is a world-renowned health system with four award-winning hospitals and dozens of primary care practices, specialty practices, urgent care centers and other ancillary locations throughout metro Los Angeles as well as the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.

UCLA is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.

UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.

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