• Lead Collector

    City of HopeAzusa, CA 91702

    Job #1316166963

  • About City of Hope City of Hope, an innovative biomedical research, treatment and educational institution with over 6000 employees, is dedicated to the prevention and cure of cancer and other life-threatening diseases and guided by a compassionate, patient-centered philosophy. Founded in 1913 and headquartered in Duarte, California, City of Hope is a remarkable non-profit institution, where compassion and advanced care go hand-in-hand with excellence in clinical and scientific research. City of Hope is a National Cancer Institute designated Comprehensive Cancer Center and a founding member of the National Comprehensive Cancer Network, an alliance of the nation's leading cancer centers that develops and institutes standards of care for cancer treatment. Position Summary: To provide leadership and guidance to the staff through knowledge of company's internal policies and procedures in addition to industry standard billing and collection guidelines. To assist the Billing Manager and Director of Operations in managing staff and any personnel issues. The Lead Collector works in a team environment to fulfill the mission and goals of the Division. Key Responsibilities include: + Generates monthly work files for collectors based on monthly review of receivable, internal policies and procedures or as needed. + Initiates proactive measures that result in developing policies, policy changes and policy implementation. + Ensures staff is working receivables in adherence to internal policies and procedures. + Responds timely and accurately to all incoming related correspondence and inquires from payers, patients and other authorized parties. Reports any trends in incoming calls or correspondence to managers for appropriate follow-up. + Interacts with co-workers, managers and other representatives to complete projects and tasks + Initiates contact with patients as necessary. + Initiates recommendations and actions for resolving patient accounts. Evaluates accounts to determine any adjustments or charge corrections required. + When required, conducts or assists in conducting disciplinary action for employees. + Ensures that all necessary documentation and information is correct according to divisional policies and procedures for approval of charge corrections, refunds and collection accounts. + Respond to all phone calls from other divisions, patients or insurance companies in an efficient and courteous manner. + Conducts random work list audits from the purposes of assessing and improving employee performance. + Demonstrates teamwork and provides assistants with special projects when assigned. + Maintains a positive image when dealing with departmental personnel and other City of Hope employees. Qualifications Key Responsibilities include: + Generates monthly work files for collectors based on monthly review of receivable, internal policies and procedures or as needed. + Initiates proactive measures that result in developing policies, policy changes and policy implementation. + Ensures staff is working receivables in adherence to internal policies and procedures. + Responds timely and accurately to all incoming related correspondence and inquires from payers, patients and other authorized parties. Reports any trends in incoming calls or correspondence to managers for appropriate follow-up. + Interacts with co-workers, managers and other representatives to complete projects and tasks + Initiates contact with patients as necessary. + Initiates recommendations and actions for resolving patient accounts. Evaluates accounts to determine any adjustments or charge corrections required. + When required, conducts or assists in conducting disciplinary action for employees. + Ensures that all necessary documentation and information is correct according to divisional policies and procedures for approval of charge corrections, refunds and collection accounts. + Respond to all phone calls from other divisions, patients or insurance companies in an efficient and courteous manner. + Conducts random work list audits from the purposes of assessing and improving employee performance. + Demonstrates teamwork and provides assistants with special projects when assigned. + Maintains a positive image when dealing with departmental personnel and other City of Hope employees. Basic education, experience and skills required for consideration: + High school diploma or equivalent. + Minimum of five (5) to seven (7) years experience performing medical billing functions. Minimum experience includes corresponding with patients and insurance companies in resolving patient accounts. Extensive knowledge of insurance carrier procedures, including Medicare, Medi-Cal and other third party payors. Experience with reading Explanations of Benefits (EOB) statements. Proven ability to handle multiple conflicting tasks. City of Hope is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability. #LI-CG