Lead, Patient Business Services/Financial Support Services

About City of Hope

City of Hope, an innovative biomedical research, treatment and educational institution with over 6000 employees, is dedicated to the prevention and cure of cancer and other life-threatening diseases and guided by a compassionate, patient-centered philosophy.

Founded in 1913 and headquartered in Duarte, California, City of Hope is a remarkable non-profit institution, where compassion and advanced care go hand-in-hand with excellence in clinical and scientific research. City of Hope is a National Cancer Institute designated Comprehensive Cancer Center and a founding member of the National Comprehensive Cancer Network, an alliance of the nation's leading cancer centers that develops and institutes standards of care for cancer treatment.

Position Summary:

This position will have multiple responsibilities that include monitoring staff productivity reports, assisting collectors with problem accounts for payment resolution. When necessary, will assist the patient with alternative arrangements for payment resolution. This position will also be responsible for maintaining and preparing collection records and reports for management. The Lead will be required to provide coverage for long and shot term absences of billing and collection staff, if needed. Also, the Lead will monitor outside collection vendor activity including the reconciliation of their A/R.

The lead is also responsible for identifying common billing errors with the goal of ensuring billing quality. The Lead will also be responsible for approving account write-offs per approved policy guidelines.

The lead must be knowledgeable in all PBS systems, such as: Cirius, MDX, Provider Advantage, QMS, DDE, Medstat and Clinical Trials System.

This position will need to be knowledgeable with respect to all major third-party payer contracts and assist collection staff with contract term interpretation. The lead will be point person in providing training and answering various questions posed by management and the billing and collection staff. The lead will also be responsible for other various reports and monitoring, as assigned by management.

Key Responsibilities include:

• Demonstrates ability to lead and direct a team of collectors responsible for billing and follow up with all third party payers and their entities as related to Hospital claims.
• Demonstrates ability to monitor adjustments (credits, debit, refunds) inventory ensuring action taken is timely and correct.
• Demonstrates the ability to recognize and deal with priorities in order to complete work in a timely manner.
• Demonstrates ability to monitor team of billers, collectors for productivity, accuracy, timely follow-up activity and assistance with technical and procedural issues.
• Ability to assist the Supervisor in various tasks, i.e. system training, new policy and procedure, reimbursement information, etc.
• Analyzes aged and problem accounts and determines when accounts are uncollectible. Randomly audit accounts for accuracy prior to approving write offs. Monitors staff and outside agencies for uncollectible claims to assure uncollectible claims are dealt with in a timely manner.
• Maintains various records of account activity for staff and outside agencies, as assigned by management.
• Maintain volume and productivity information for staff and outside agencies and prepares daily and weekly productivity statistics for management review.
• Updates account receivable with appropriate transactions to reflect current billing and/or collection status.
• Maintains professional growth and development and keeps abreast of latest trends in area of expertise. Maintains current knowledge of collection policies and procedures and related legislation.
• Maintains a positive image when dealing with department personnel and other City of Hope employees.

Basic education, experience and skills required for consideration:

• High school diploma or equivalent.
• Three to five years in related field and/or areas.

Additional Information:

• To protect the health of patients and staff and to comply with new State of California mandates, City of Hope staff are required to show proof of full vaccination by September 30, 2021. Compliance is a condition of employment.
• This position is represented by a collective bargaining agreement.

City of Hope is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.

#LI-CG