City of Hope

Irwindale, CA

Job posting number: #7252660 (Ref:10026239)

Posted: June 6, 2024

Salary / Pay Rate: $21.37 - $30.14 / hour

Application Deadline: Open Until Filled

Job Description

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

This role will efficiently and collectively collect reimbursement for professional services rendered. The Collector is in charge of monitoring and processing accounts that are both straightforward or may need further research in order to bring resolution. The Collector will work with minimal supervision from management to ensure the integrity of the work performed. The Collector works in a team environment to fulfill the mission and goals of the Division.

As a successful candidate, you will:

  • Follow-up all assigned accounts from within billing and accounts receivable system in accordance with pre-established goals.
  • Initiates proactive measures that result in account resolution, including written and verbal claims, follow-up actions and first and second level appeals.
  • Ensures all conditions for payment receipt have been satisfied, which includes; but not limited to:
    • Accurate charges
    • Patient insurance eligibility
    • Accurate financial class
    • Patient benefit coverage
    • Authorization/certification/TAR information
    • Patient responsibilities
    • Claims address
    • CPT coding, as applicable
    • ICD-9 coding, as applicable
  • Responds timely and accurately to all incoming related correspondence and inquiries from payers, patients and other authorized parties. Reports any trends in incoming correspondence to managers for appropriate follow-up.
  • Interacts with co-workers and other representatives to obtain required information on a timely basis.
  • Initiates contact with patient’s as necessary.
  • Initiates recommendations and actions for resolving patient accounts. Evaluates accounts to determine any adjustments or charge corrections required.
  • When required, submits bills to insurance for secondary insurance.
  • Ensures that all necessary documentation and information is correct according to divisional policies and procedures and complete for submission of appeal.
  • Research and prioritize incoming mail, resubmit denials with proper documentation according to divisional policies and procedures.
  • Respond to all phone calls from other divisions or insurance companies in an efficient and courteous manner.
  • Clearly document within the patient’s account, based on internal policies and procedures.
  • Demonstrates teamwork and provides assistance with special projects when assigned.
  • Maintains a positive image when dealing with department personnel and other City of Hope employees.

Your qualifications should include:

  • High school diploma or equivalent.
  • Minimum three (3) to five (5) years experience performing medical functions.
  • Minimum experience including corresponding with patients and insurance companies in resolving patient accounts.
  • Extensive knowledge of insurance carrier procedures.
  • Experience with reading Explanation of Benefits (EOB) statements. Proven ability to handle multiple conflicting tasks.

City of Hope is an equal opportunity employer. To learn more about our commitment to diversity, equity, and inclusion, please click here. To learn more about our Comprehensive Benefits, please CLICK HERE.

Additional Information:

  • This position is represented by a collective bargaining agreement.

Salary / Pay Rate Information:
Pay Rate: $21.37 - $30.14 / hour

The estimated pay scale represents the typical [salary/hourly] range City of Hope reasonably expects to pay for this position, with offers determined based on several factors which may include, but not be limited to, the candidate’s experience, expertise, skills, education, job scope, training, internal equity, geography/market, etc. This pay scale is subject to change from time to time.

City of Hope is a community of people characterized by our diversity of thought, background and approach, but tied together by our commitment to care for and cure those with cancer and other life-threatening diseases. The innovation that our diversity produces in the areas of research, treatment, philanthropy and education has made us national leaders in this fight. Our unique and diverse workforce provides us the ability to understand our patients' needs, deliver compassionate care and continue the quest for a cure for life-threatening diseases. At City of Hope, diversity and inclusion is a core value at the heart of our mission. We strive to create an inclusive workplace environment that engages all of our employees and provides them with opportunities to develop and grow, both personally and professionally. Each day brings an opportunity to strengthen our work, leverage our different perspectives and improve our patients’ experiences by learning from others. Diversity and inclusion is about much more than policies and campaigns. It is an integral part of who we are as an institution, how we operate and how we see our future.

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Job posting number:#7252660 (Ref:10026239)
Application Deadline:Open Until Filled
Employer Location:City of Hope
United States
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