Collections Representative

#CA-KN

The Collections representatives are responsible for securing payment and/or funding on high dollar self-pay accounts. They work with Commercial Payers, Worker's compensation Insurance, Attorneys, Third Party Payers, and other outside agencies such as Medi-Cal, Medi-caid, Sacramento County and other counties to obtain billing information, payment, or to assist the patient with eligibility.
They actively pursue collections and resolve any inquiries or disputes a patient/responsible party may have. Accounts may also be referred to an outside vendor to assist the patient in complying with the State and/or County requirements to obtain eligibility or appeal a denial of eligibility if warranted or to assist with coordination of benefits related insurance payment denials.

Apply By Date: 5/21/2026 at 11:59 pm - Interviews and recruiting process may occur at any time

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position

• High School Diploma or GED or equivalent work experience or training
• Minimum two (2) years of experience in healthcare billing, collections, or revenue cycle operations
• Ability to communicate clearly and concisely to elicit information by telephone and in person to respond to billing inquiries from patients, staff or other agencies.
• Sufficient writing skills to effectively compose complex, technical information and to convey in a clear and concise format to respond to billing inquiries.
• Ability to comprehend and navigate through the complexities of the billing systems to retrieve, change and adjust account information.
• Analytical experience and skills to assess account balance(s) and make determination/decision on further action needed and experience in negotiating patient account balances.
• Knowledge of basic accounting practices sufficient to perform complete audit of accounts with multiple payers.
• Ability to analyze and interpret various types of Explanation of Benefits (EOB) and Remittance Advice (RA).
• General knowledge of medical billing/reimbursement requirements and procedures, including government programs, contracted private insurance and third-party programs.
• General knowledge of medical terminology in order to correlate reports to actual charges and determine appropriateness of denials.
• General knowledge of Current Procedural Terminology (CPT) and International Classification of Diseases (ICD9) policies related to medical billing.
• Knowledge of credit and collection practices.
• Healthcare Customer Service Knowledge of financial assistance programs and ability to educate patients on available resources. Collections and A/R Follow-UpUnderstanding of HIPAA regulations and patient confidentiality. Familiarity with billing compliance standards and financial policies. Team Collaboration and Workflow Management Familiarity with internal and external collection processes, including agency coordination. Hospital Billing Systems knowledge Hands-on experience with hospital billing platforms (Epic). Understanding of charge entry, claim submission, and payment posting workflows. Insurance and Payer Communication Ability to prioritize tasks and meet performance metrics in a fast-paced environment. Ability to interpret Explanation of Benefits (EOBs) and coordinate with payers for claim resolution. Regulatory and Compliance Knowledge Skilled in resolving patient concerns with professionalism and empathy. Self-Pay Account Management Proficient in managing self-pay accounts, including follow-up on outstanding balances.

Preferred Qualifications

• Experience communicating with patients regarding billing inquiries, insurance coverage, and payment options.
• Experience in initiating and managing collection efforts for overdue accounts.
• Experience with denial management and appeals processes.
• Experience working in cross-functional teams including billing, coding, and patient access.

Key Responsibilities

• 55% - Customer Service
• 25% - Self pay follow-up
• 10% - Reports review
• 5% - Cash handling
• 5% - Other duties

Department Overview

The staff act as the liaison between the patient and the Health System for responding to all patient inquiries regarding the hospital, PCN, and Professional billing. Staff are responsible for resolving questions related to billing, payments, charge disputes, and financially screening patients for charity care and other payment options to ensure financial responsibility is met.

POSITION INFORMATION

• Salary or Pay Range: $26.58 - $37.75
• Salary Frequency: Hourly
• Salary Grade: 101
• UC Job Title: COLL REPR
• UC Job Code: 004622
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100%
• Shift (Work Schedule): Monday-Friday, 8:00am- 4:30pm
• Location: Patient Contact Center (HSP166)
• Union Representation: CX-Clerical/Admin
• Benefits Eligible: Yes
• This position is hybrid (mix of on-site and remote work)

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.

If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC: https://ucnet.universityofcalifornia.edu/labor/bargaining-units/index.html

• High quality and low-cost medical plans to choose from to fit your family's needs
• UC pays for Dental and Vision insurance premiums for you and your family
• Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
• Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Access to free professional development courses and learning opportunities for personal and professional growth
• WorkLife and Wellness programs and resources
• On-site Employee Assistance Program including access to free mental health services
• Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
• Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
• Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here

Physical Demands

• Standing - Frequent 3 to 6 Hours
• Walking - Frequent 3 to 6 Hours
• Sitting - Continuous 6 to 8+ Hours
• Twisting - Occasional Up to 3 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Continuous 6 to 8+ Hours

Environmental Demands

• Loud noise levels - Frequent 3 to 6 Hours

Mental Demands

• Sustained attention and concentration - Continuous 6 to 8+ Hours
• Complex problem solving/reasoning - Continuous 6 to 8+ Hours
• Ability to organize & prioritize - Continuous 6 to 8+ Hours
• Communication skills - Continuous 6 to 8+ Hours
• Numerical skills - Continuous 6 to 8+ Hours
• Constant Interaction - Continuous 6 to 8+ Hours
• Customer/Patient Contact - Continuous 6 to 8+ Hours
• Multiple Concurrent Tasks - Continuous 6 to 8+ Hours

Work Environment

UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.

Special Requirements - Please contact your recruiter with questions regarding which activities apply by position

• This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment
• The duties or functions of this position include the handling of cash (or cash equivalents)
• This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements

Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

A Culture of Opportunity and Belonging

At UC Davis, we're committed to solving life's most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.

As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

To view the University of California's Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination

Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere

To learn more about our background check program, please visit: https://hr.ucdavis.edu/departments/recruitment/ucd/selection/background-checks