Billing Rep

Job Description

Billing Rep

About City of Hope

City of Hope is an independent biomedical research and treatment organization for cancer, diabetes and other life-threatening diseases.

Founded in 1913, City of Hope is a leader in bone marrow transplantation and immunotherapy such as CAR T cell therapy. City of Hope's translational research and personalized treatment protocols advance care throughout the world. Human synthetic insulin, monoclonal antibodies and numerous breakthrough cancer drugs are based on technology developed at the institution. AccessHope, a subsidiary launched in 2019 serves employers and their health care partners by providing access to City of Hope's specialized cancer expertise.

A National Cancer Institute-designated comprehensive cancer center and a founding member of the National Comprehensive Cancer Network, City of Hope is ranked among the nation's "Best Hospitals" in cancer by U.S. News & World Report and received Magnet Recognition from the American Nurses Credentialing Center. Its main campus is located near Los Angeles, with additional locations throughout Southern California, Arizona, Illinois and Georgia.

Job Description:
The Billing Rep is responsible for timely and accurate claim creation and submission to all payers electronically utilizing the Patient Account system and third-party claim solution or through paper transmission to optimize reimbursement of hospital and physician accounts. Billing Reps are specialized in either hospital or physician billing and may be proficient in both. Billing Reps are responsible for the complete account cycle for all Medicare and Medicaid claims from insurance claim submission to account resolution. The Billing Rep completes claim edits for each payer and resubmits claims as necessary. The Billing Rep is responsible for billing the necessary claims with the appropriate CCI guidelines. The Billing Reps review, correct, and rebill all claim rejections via the 277 rejections received from the clearinghouse.

Minimum Job Qualifications

Education: High School Diploma or GED

Experience: 1-3 years related work experience in registration, collection and verification in a healthcare setting or similar service profession

Knowledge, Skills, Abilities:
Strong written and verbal communication skills, telephone skills, and customer service skills
Basic knowledge of medical terminology
Capable of operating all required computer applications and new applications as they are implemented, Windows experience a plus
Knowledge of ICD-10 coding, insurance terminology and ability to read an Explanation of Benefits
Basic knowledge of Medicare CCI edits
Must be efficient, reliable, goal orientated and adaptable to change while maintaining productivity levels
Excellent organizational skills and be able to manage multiple priorities
Must be Team oriented, courteous and professional
EPIC experience is a plus

Preferred Attributes

Associates Degree

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.

City of Hope's commitment to Diversity, Equity, and Inclusion

We believe diversity, equity and inclusion is key in serving our mission to provide compassionate patient care, drive innovative discovery, and advance vital education focused on eliminating cancer and diabetes in all of our communities. Our commitment to Diversity, Equity and Inclusion ensures we bring the full range of skills, perspectives, cultural backgrounds, and experiences to our work -- and that our teams align with the people we serve in order to build trust and understanding. We are dedicated to fostering a community that embraces diversity - in ideas, backgrounds, and perspectives; this is reflected in our work and represented in our people.

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