About City of Hope
City of Hope is an independent biomedical research and treatment organization for cancer, diabetes and other life-threatening diseases.
Founded in 1913, City of Hope is a leader in bone marrow transplantation and immunotherapy such as CAR T cell therapy. City of Hope's translational research and personalized treatment protocols advance care throughout the world. Human synthetic insulin, monoclonal antibodies and numerous breakthrough cancer drugs are based on technology developed at the institution. AccessHope™, a subsidiary launched in 2019 serves employers and their health care partners by providing access to City of Hope's specialized cancer expertise.
A National Cancer Institute-designated comprehensive cancer center and a founding member of the National Comprehensive Cancer Network, City of Hope is ranked among the nation's "Best Hospitals" in cancer by U.S. News & World Report and received Magnet Recognition from the American Nurses Credentialing Center. Its main campus is located near Los Angeles, with additional locations throughout Southern California and in Arizona.City of Hope's commitment to Diversity, Equity and Inclusion
We believe diversity, equity and inclusion is key in serving our mission to provide compassionate patient care, drive innovative discovery, and advance vital education focused on eliminating cancer and diabetes in all of our communities. Our commitment to Diversity, Equity and Inclusion ensures we bring the full range of skills, perspectives, cultural backgrounds and experiences to our work -- and that our teams align with the people we serve in order to build trust and understanding. We are dedicated to fostering a community that embraces diversity - in ideas, backgrounds and perspectives; this is reflected in our work and represented in our people.Position Summary:
To 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.Key Responsibilities include:
- 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.
Basic education, experience and skills required for consideration:
- Maintains a positive image when dealing with department personnel and other City of Hope employees.
- 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.
- As a condition of employment, City of Hope requires staff to comply with all state and federal vaccination mandates.
- 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.