Collector

City of Hope•Irwindale, CA

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. 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.

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

Benefits

  • Comprehensive Benefits
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