Revenue Cycle Lead

City of Hope•Irwindale, CA

47d

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. As a successful candidate, the Revenue Cycle Lead:

Requirements

Minimum of seven (7) years of experience performing medical billing functions. Minimum experience includes corresponding with insurance companies in resolving patient accounts. Extensive knowledge of insurance carrier procedures, including Medicare, Medi-Cal and other third-party payors. Experience with reading Explanations of Benefits (EOB) statements. Proven ability to handle multiple conflicting tasks.
Experience with on-line practice management system. Knowledge of PC based software applications. Proficient in MS Office, specifically MS Word, Power Point, and Excel (e.g. Word for Windows, Excel, etc.) is required.
Demonstrated knowledge of claims review and analysis; ICD-10, CPT, and HCPCS coding; and medical terminology
Effective communication, leadership, organizational, and problem-solving skills
Ability to manage multiple tasks and projects simultaneously
Ability to analyze data, identify improvement, and implement change
Demonstrated written and verbal communication skills. Ability to plan and carry out responsibilities with minor supervision
Excellent verbal and written communication skills
Excellent interpersonal skills with customer service focus

Responsibilities

Initiates proactive measures that result in developing policies, policy changes and policy implementation.
Assists supervisor in developing goals, monitoring work queues, and distributing assignments to staff.
Helps to monitor performance and identify areas in need of improvement.
Interacts with co-workers, managers and other representatives to complete projects and tasks.
Responds timely and accurately to all incoming related correspondence and inquiries from payers, patients and other authorized parties.
Reports any trends supervisor/manager for appropriate follow-up.
Assists supervisor in hiring and training new staff, developing training materials, and provides ongoing instruction to staff as needed.
When required, may assist with providing feedback on staff conduct.
Respond to all emails and phone calls from other divisions, patients or insurance companies in an efficient and courteous manner.
Maintains compliance with HIPAA guidelines and ensures staff maintain discrepancy when handling patient information.
Demonstrates teamwork and provides assistants with special projects when assigned.
Maintains a positive image when dealing with departmental personnel and other City of Hope employees.