Senior Collections Representative (Credit Balance)

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:

• 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

We're seeking an experienced revenue cycle professional
with:

Required

• 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.

Preferred

• Familiarity
  with medical terminology and coding concepts.