Job Details

Location: San Francisco, CA (Remote or Hybrid Options Available)

Job Type: Contract-to-Hire

Pay Range: $20–$23/hr based on experience)

Start Date: ASAP

Contract Duration: Contract to convert to full-time (2 positions) OR Temporary role (up to 12 months for maternity leave coverage)

Position Summary:

We are looking for an experienced Senior Collections Representative to join the OB/GYN team. This position is responsible for managing accounts receivable, ensuring timely claim submission, payment posting, and follow-up for outstanding balances. The role requires excellent customer service skills, especially over the phone, and the ability to handle multiple tasks in a fast-paced, remote environment. The department has three openings: two full-time potential roles and one temporary role to cover a maternity leave.

Key Responsibilities:

• Accounts Follow-Up: Review and follow up on assigned accounts to meet weekly WIP (Work In Progress) goals using the CureMD system.
• Payment Posting: Post payments, adjustments, and reconcile lockboxes.
• Claim Submission & Edits: Submit claims, process charge edits, and address incorrect payments or denials.
• Communication: Provide excellent customer service on phone calls and emails, ensuring a low abandonment rate (<10%).
• A/R Management: Follow up on unpaid claims and work to resolve outstanding balances with insurance payers and patients.
• Documentation: Maintain accurate records of patient demographics, insurance data, and billing activities.
• Compliance: Ensure compliance with HIPAA and payer contract policies (HMO/PPO).

Must-Haves:

• Experience: 1–2 years of follow-up experience in professional fee billing (doctor's office or university setting).
• Skills: Excellent customer service skills, especially over the phone; strong organizational, interpersonal, verbal, and written communication skills.
• Experience with:
• Claim submission, payment posting, charge edits, and lockbox reconciliation.
• A/R follow-up and managing insurance payer follow-up (HMO/PPO).
• Working in a remote environment with the ability to stay productive.
• Knowledge of HIPAA compliance and payer contract policies.
• Education: High school diploma required.

Nice-to-Haves:

• Bachelor's degree.
• Prior UCSF or other university health system experience.
• Experience in appealing incorrect or denied claims.
• Familiarity with Cirius claim edits and RFI processes.
• Experience meeting ACD phone metrics remotely.

Business Objective:

Expanding and stabilizing its collections team to improve accounts receivable performance and maintain high levels of patient satisfaction. The department currently has three openings:

1. Two full-time potential roles created to address increased patient volumes and long-term revenue cycle demands.
2. One temporary role to provide coverage during a staff member's maternity leave.

All roles are essential to ensuring timely resolution of outstanding balances, accurate claim processing, and professional patient communication—key drivers of the clinic's cash flow, compliance, and overall service reputation.