The Government, Commercial, Contract and Managed Care (CCMC) Units are responsible for the accounts receivable, billing, and follow-up of all government or commercial, contract and managed care payers. The units deal regularly with complex policy and procedural issues that involve contract compliance with regard to Medicare, Medi-Cal, CCS, HMO and PPO payers. It is the units' responsibilities to communicate and to coordinate throughout various UCSF Medical Center departments, including the UCSF billing agents to ensure the quality of the university's billing process.

Within these units, the A/R - Billing - Follow-up Representatives (Rep.'s) are responsible for billing and follow-up of government, commercial, contract and/or managed care accounts receivables for MGBS clients to include the following:

• Demonstrates the ability to perform all aspect of billing and follow-up with quality.
• Resolve all outstanding insurance accounts through constant communication with the payers (by phone or via web access), other MGBS units, UCSF clinical departments and billing agents.

• Adhere to the MGBS SRG (Situation Response Guide) to ensure consistency with the follow-up and documentation processes and to maintain good quality work.
• Meet minimum productivity standards and quality expectations of their units.
• Attend and be engaged in unit and team meetings aimed at increasing knowledge.
• Utilize web based tools, including payor websites and the RMS website prior to calling payors and conform to all UCSF, MGBS, government and HIPAA policies and procedures.

Please note: The compensation ranges listed online for roles not covered by a bargaining unit agreement are very wide, however a job offer will typically fall in the range of 80% - 120% of the established mid-point. An offer will take into consideration the experience of the final candidate AND the current salary level of individuals working at UCSF in a similar role. For roles covered by a bargaining unit agreement, there will be specific rules about where a new hire would be placed on the range. To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html