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.