Collector

City of Hope•Irwindale, CA

About The Position

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.

Requirements

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

Responsibilities

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