Hospital PVU Collections Representative

General Information

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Work Location: Los Angeles, USA Onsite or Remote Flexible Hybrid Work Schedule Monday - Friday, 7:00 AM - 4:00 PM Posted Date 02/18/2025 Salary Range: $26.79 - 38.05 Hourly Employment Type 2 - Staff: Career Duration Indefinite Job # 22426

Primary Duties and Responsibilities

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As a PVU Follow-Up Collection Representative, you will manage a portfolio of assigned accounts, typically high balance, aged, or complex accounts. Your primary responsibilities include:

• Reviewing inpatient and outpatient claims to ensure maximum collection efforts.
• Providing timely follow-up and documenting actions taken to resolve claims.
• Responding to correspondence and handling heavy telephone contact to facilitate account resolution.
• Assisting in the training of Follow-Up Collection Representatives and being a resource for Collection Representatives.
• Performing all duties within the patient accounting systems to ensure accurate and efficient account management.

Salary Range: $26.79 - $38.05/hourly

Job Qualifications

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We are seeking a self-directed, detail-oriented individual with:

• High school diploma or GED; Minimum of 3 years of relevant experience, including at least 1 year in collections investigation
• Experience in commercial and managed care collections, highly desired
• Ability to interpret payer contracts and process contractual adjustments
• In-depth knowledge of UB04 requirements and medical billing processes
• Strong analytical skills and proven proficiency in Excel and spreadsheets
• Understanding of collection techniques and laws, including AB1455, the Knox-Keene Act, Health & Safety Codes, etc., Familiarity with medical terminology, CPT codes, HCPCS codes, health networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations
• Excellent verbal and written communication skills
• Proficiency in Microsoft Office, especially Excel and Word
• Exceptional organizational skills, with the ability to meet deadlines, work independently or as part of a team, and prioritize tasks effectively

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