Account Follow Up Rep

Account Follow Up Rep

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.

Hours: Monday- Friday; Day Shift

REMOTE POSITION

As a successful candidate, you will:

Hours - 8-4:30pm CST

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. To learn more about our commitment to diversity, equity, and inclusion, please click here .