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.

Position Summary:

To efficiently resolve credit balances by thoroughly analyzing, calculating and identifying true refunds.

Key Responsibilities include:

• Review and analyze insurance and patient refund requests received.
• Able to calculate expected reimbursement based on payor contracts and assess true overpayments.
• Prepares all necessary documentation to support the refund requests.
• Ensures that all approved refunds are logged and reconciled with the Finance Department.
• Post all approved refunds in the patient ledger.
• Responds timely and accurately to all incoming related refund calls and correspondence inquiries from payers, patients and other authorized parties.
• Maintains the undistributed account balance to minimum dollar threshold as required per department policies.

Organizational Expectations:

• Demonstrates behavior that supports the City of Hope Medical Foundation’s mission.
• Attends required orientation and training seminars.
• Meets production standards within established time requirements.
• Work product and performance meets quality standards.
• Demonstrates respect and positive interpersonal skills with patients, clients, the public, managers, and co-workers—a team player.
• Maintains confidentiality of patient care and business matters.
• Observes time, attendance, and dress code standards.
• Protects the safety of others and of the physical plant and equipment, following institution policies, fire, safety and infection control regulations.

Your qualifications should include:

• High School diploma
• Two (2) to five (5) years’ experience in Revenue Cycle healthcare; hospital, medical group or Independent Practice Association (IPA).
• Has thorough knowledge of HMO, PPO, POS coverage rules

Additional Information:

• There are 2 positions available

City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.

City of Hope is an equal opportunity employer.

To learn more about our Comprehensive Benefits, please CLICK HERE.