Collector - Medicare Hospital Billing

City of Hope • Duarte, CA

112d

About The Position

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. This role receives and reviews past due bills and follow-up documents for large balance accounts. Contacts patients, guarantors and/or third-party organizations to secure payments or arrange alternative settlement plans. Prepares and maintains collection related records and reports.

Requirements

• High School or equivalent (experience may substitute for minimum education requirements).
• 2-3 years collections experience including prior experience in health care.
• Strong knowledge of 3rd party/government billing/collection and reimbursement requirements.
• Working knowledge of insurance and medical terminology.

Nice To Haves

• Preferably: Medical terminology. ICD-9, CPT-4 & HCPCS coding.

Responsibilities

• Contacts patients/guarantors or third-party representatives by telephone, correspondence and meetings to resolve outstanding large balances in accordance with departmental follow-up procedures.
• Responds to correspondence and calls forwarded from the customer service unit.
• Investigates and/or ensures that questions and requests for information are responded to in a timely and professional manner to ensure resolution of outstanding accounts.
• Works with other outside services to develop and monitor reimbursement.
• Analyzes accounts and determines when accounts are uncollectable. Prepares write-off recommendations in accordance with established departmental policies and procedures.
• Maintains record of account activity and actions taken to effect collection.
• Documents accurate data (such as cash, adjustments, write-offs, etc.) for management reports.
• Maintains volume and productivity information 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 customer service image when dealing with department personnel, patients, physicians, insurance companies and other City of Hope employees.

What This Job Offers

• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees