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.
As a successful candidate, you will:
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Follow up on assigned accounts within billing and accounts receivable systems to meet established performance goals
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Proactively resolve accounts through written and verbal communication, including first- and second-level appeals
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Verify and ensure all conditions for payment are met, including charges, insurance eligibility, and benefit coverage
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Review and validate financial classifications, authorizations, and certifications
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Confirm accuracy of CPT and ICD coding, as applicable
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Respond promptly and accurately to inquiries from payers, patients, and authorized representatives
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Identify and report trends in correspondence to management for further action
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Collaborate with internal teams and external stakeholders to gather necessary information efficiently
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Communicate with patients as needed to support account resolution
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Recommend and implement solutions to resolve outstanding patient accounts
Your qualifications should include:
- High school diploma or equivalent.
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Minimum three (3) to five (5) years experience performing medical functions.
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Minimum experience including corresponding with patients and insurance companies in resolving patient accounts.
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Extensive knowledge of insurance carrier procedures.
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Experience with reading Explanation of Benefits (EOB) statements. Proven ability to handle multiple conflicting tasks.
City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.
City of Hope is an equal opportunity employer.
To learn more about our Comprehensive Benefits, please CLICK HERE.