Patient Access Advocate

Updated: about 15 hours ago

Patient Access Advocate

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.

The successful candidate:

The Advocate, Patient Access Rep reviews and evaluates a prospective and current patient’s insurance coverage after obtaining the benefits from an interview process of over 40 detailed questions with the patient’s insurance payer. The Advocate, Patient Access Rep uses the quoted benefit information to facilitate a decision regarding a patient’s eligibility to be treated at COH while ensuring that the COH Patient Financial Acceptance policy and specific site exception policies are applied. The Advocate, Patient Access Rep determines when a patient should be escalated to site CFO’s for Administration Approvals. The Advocate, Patient Access Rep documents individual patient benefits into the database repositories for insurance data which serve as the databases for communicating benefit information to both prospective and current patients and for insuring accurate and complete billing, correct reimbursement rates, pre-certification requirements, and maximized collections. The Advocate, Patient Access Rep communicates daily with OIS, OIS Leadership, Care Managers, Registration Stakeholders, Pre-Certification Coordinators, Site CFO’s, Site VP’s of Finance, Billers, CAR’s, PACR’s and Account Management Specialists. The Advocate, Patient Access Rep reports directly to the Advocate, Patient Access Supervisor.

Job Qualifications
•    Minimum of a Highschool diploma is required

•    Must possess knowledge of Medical Terminology

•    Have experience in verifying medical benefits

•    Ability to Multitask.

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, click here: Benefits Information

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