Job Description

Rep, Account Follow Up

Cancer care is all we do

Hope in healing

Cancer Treatment Centers of America® (CTCA), part of City of Hope, takes a unique and integrative approach to cancer care. Our patient-centered care model is founded on a commitment to personalized medicine, tailoring a combination of treatments to the needs of each individual patient. At the same time, we support patients' quality of life by offering therapies designed to help them manage the side effects of treatment, addressing their physical, spiritual and emotional needs, so they are better able to stay on their treatment regimens and get back to life. At the core of our whole-person approach is what we call the Mother Standard® of care, so named because it requires that we treat our patients, and one another, like we would want our loved ones to be treated. This innovative approach has earned our hospitals a Best Place to Work distinction and numerous accreditations. Each of us has a stake in the successful outcomes of every patient we treat.

Hours: Monday- Friday 8am - 4:30pm CT

REMOTE POSITION

Job Description:

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

Pay Range
$16.70 - $25.78

Placement within the identified pay range is based on individual and market factors including, but not limited to, experience, education, credentials (including licenses and certifications), geographic location, market competition, skill set (including market availability of required skills), assigned/anticipated job tasks, and level of responsibility. These factors are considered without regard to an individual's status as a member of any protect group pursuant to federal, state, and/or local law.

We win together

Each CTCA employee is a Stakeholder, driven to make a true difference and help win the fight against cancer. Each day is a challenge, but this unique experience comes with rewards that you may never have thought possible. To ensure each team member brings his or her best self, we offer exceptional support and immersive training to encourage your personal and professional growth. If you're ready to be part of something bigger and work with a passionate, dynamic group of care professionals, we invite you to join us.

Visit: Jobs.cancercenter.com to begin your journey.

Important Notes

CTCA Operations Center