Account Follow Up Rep
City of Hope
Zion, IL
Job posting number: #7200616 (Ref:JR-12003)
Posted: March 18, 2024
Salary / Pay Rate: $17.20 - $26.55 / hour
Application Deadline: Open Until Filled
Job Description
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, andtreatment facilitiesin 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 ShiftREMOTE 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.
Salary / Pay Rate Information:
Pay Rate: $17.20 - $26.55 / hour
The estimated pay scale represents the typical [salary/hourly] range City of Hope reasonably expects to pay for this position, with offers determined based on several factors which may include, but not be limited to, the candidate’s experience, expertise, skills, education, job scope, training, internal equity, geography/market, etc. This pay scale is subject to change from time to time.
City of Hope is a community of people characterized by our diversity of thought, background and approach, but tied together by our commitment to care for and cure those with cancer and other life-threatening diseases. The innovation that our diversity produces in the areas of research, treatment, philanthropy and education has made us national leaders in this fight. Our unique and diverse workforce provides us the ability to understand our patients' needs, deliver compassionate care and continue the quest for a cure for life-threatening diseases. At City of Hope, diversity and inclusion is a core value at the heart of our mission. We strive to create an inclusive workplace environment that engages all of our employees and provides them with opportunities to develop and grow, both personally and professionally. Each day brings an opportunity to strengthen our work, leverage our different perspectives and improve our patients’ experiences by learning from others. Diversity and inclusion is about much more than policies and campaigns. It is an integral part of who we are as an institution, how we operate and how we see our future.
