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.

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