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COLLECTOR - 10026522
Irwindale, CACity of Hope is an independent biomedical research and treatment center 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 wholly owned subsidiary, was launched in 2019 and is dedicated to serving employers and their health care partners by providing access to City of Hope’s exceptional 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.
Medicare Collector
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:
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.
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.
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.