Account Follow Up Representative

Account Follow Up Representative About City of Hope, City of Hope's mission is to make hope a reality for all touched by cancer and diabetes. Founded in 1913, City of Hope has grown into one of the largest and most advanced cancer research and treatment organizations in the U.S., and one of the leading research centers for diabetes and other life-threatening illnesses. City of Hope research has been the basis for numerous breakthrough cancer medicines, as well as human synthetic insulin and monoclonal antibodies. With an independent, National Cancer Institute-designated comprehensive cancer center that is ranked top 5 in the nation for cancer care by U.S. News & World Report at its core, City of Hope’s uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work. 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 cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas. The successful candidate: The Account Follow-up Rep (AFR) is accountable for understanding and reconciling insurance practices (contracted/non-contracted) and is responsible for the reimbursement and/or resolution of patient or insurance (hospital or physician) account balances by utilizing complete follow-up tactics, working accounts to maximize reimbursement in any of the following areas:

• Insurance Account Follow-up (hospital or physician)
• Self-pay Account Follow-up focusing on the collection of the patient responsibility portion left by insurance leveraging assistance programs and tools. This area includes the inbound call center.
• Administration of financial programs supporting the patient with medical balances such as Financial Assistance, Co-pay Assistance, Free Drug, Drug Replacement, etc.

Minimum Job Qualifications Education: High school diploma/equivalent or passed proficiency exam Experience: 3 years of A/R experience in a hospital or physician healthcare setting including insurance and self-pay healthcare collections/billing as well as insurance verification experience with demonstrated analytical capability. Experience with account reconciliation and balancing Knowledge, Skills, Abilities:

• Solid knowledge of medical terminology, ICD9 codes, CPT/HCPC’s codes. Familiar with Medicare Bad Debt laws and requirements, and Fair Debt Collection Laws
• Understanding of insurance contracts and reimbursement methodologies. Ability to interpret EOBs and navigate patient insurance policies
• Knowledge of collection agency work, probate courts and its requirements, and bankruptcy laws and regulations
• Advanced written and verbal communication skills
• Proficient with technology, spreadsheet management skills, with the ability to analyze trends.
• Excellent organizational skills, ability to manage multiple priorities and responsibilities
• Outstanding customer service skills
• Must be willing to travel, as needed

City of Hope is an equal opportunity employer. City of Hope employees pay is based on the following criteria: work experience, qualifications, and work location.