Senior Cross-Functional Collections Representative

UCLA Health is seeking a Senior Cross-Functional Collections
Representative to support Patient Business Services by managing a diverse
portfolio of complex accounts. In this role, you will lead proactive
reimbursement efforts, support training for new staff, and collaborate across
teams to improve workflows and maximize collections. This position plays a
critical role in ensuring timely resolution of outstanding claims and
contributes to the overall financial success of the organization.

In this role, you will:

• Manage
  an assigned portfolio of accounts across payer types, executing complex
  claim reviews, resolving payment delays, and optimizing collections
  strategy
• Conduct
  detailed analysis of aged accounts and payment discrepancies, including
  preparing documentation for escalations or referrals
• Communicate
  with payers, departments, and patients to obtain missing documentation,
  clarify benefits, and resolve reimbursement issues
• Make
  financial adjustments and rebill claims as needed, ensuring compliance
  with contract terms and payer policies
• Maintain
  thorough documentation in CareConnect and ensure workflows are supported
  by accurate case notes
• Support
  onboarding and training for new team members, providing guidance on
  policies, systems, and effective resolution techniques
• Assist
  with special projects, stay current on industry changes, and contribute to
  workflow enhancements

We're looking for a skilled and experienced collections
professional with:

• Minimum
  of five years of progressive experience in billing and collections across
  payer types (government, commercial, managed care)
• Strong
  understanding of reimbursement regulations, payer contracts, medical
  terminology, and confidentiality compliance
• Proven
  ability to resolve complex claims, process adjustments, and manage appeals
  effectively
• Proficiency
  in Epic or similar billing systems, with strong skills in spreadsheets and
  account management tools
• Excellent
  communication and negotiation skills, with experience collaborating across
  departments and training others
• Strong
  organizational skills and the ability to manage multiple priorities
  independently in a fast-paced setting
• High
  school diploma or GED required