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. Position Summary The Collector plays a critical role in ensuring timely and accurate reimbursement for professional services rendered. This position is responsible for managing a portfolio of accounts, resolving straightforward and complex claims, and driving accounts to resolution. Working with minimal supervision, the Collector collaborates within a team environment to support the Division’s mission and financial goals while maintaining the highest level of integrity and accuracy. As a successful candidate, you will: Follow up on assigned accounts within billing and accounts receivable systems to meet established performance goals Proactively resolve accounts through written and verbal communication, including first- and second-level appeals Verify and ensure all conditions for payment are met, including charges, insurance eligibility, and benefit coverage Review and validate financial classifications, authorizations, and certifications Confirm accuracy of CPT and ICD coding, as applicable Respond promptly and accurately to inquiries from payers, patients, and authorized representatives Identify and report trends in correspondence to management for further action Collaborate with internal teams and external stakeholders to gather necessary information efficiently Communicate with patients as needed to support account resolution Recommend and implement solutions to resolve outstanding patient accounts 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 employees pay is based on the following criteria: work experience, qualifications, and work location. City of Hope is an equal opportunity employer. #J-18808-Ljbffr

Job Tags

Similar Jobs