Irwindale, CA
38 days ago
Collector - PPO

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.

On-site position in Irwindale, CA. Hybrid schedule after completing 6 months.

This position will 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.

As a successful candidate, you will:

Initiate proactive measures that result in account resolution, including written and verbal claims, follow-up actions and first and second level appeals.Respond timely and accurately to all incoming related correspondence and inquiries from payers, patients, and other authorized parties. Report any trends in incoming correspondence to managers for appropriate follow-up.Initiate recommendations and actions for resolving patient accounts. Evaluate accounts to determine any adjustments or charge corrections required. Ensure that all necessary documentation and information is correct according to divisional policies and procedures and complete for submission of appeal. Research and prioritize incoming mail, resubmit denials with proper documentation according to divisional policies and procedures. Demonstrate teamwork and aid with special projects when assigned.      Maintain a positive image when dealing with department personnel and other City of Hope employees.

Qualifications

Your qualifications should include:

High school diploma or equivalent3 or more years experience performing medical functions 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.

 

 

Additional Information:

This position is represented by a collective bargaining agreement.

 

City of Hope is an equal opportunity employer. To learn more about our commitment to diversity, equity and inclusion, please click here.

 

To learn more about our Comprehensive Benefits, please CLICK HERE.

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