Patient Access Rep

Job Description

Patient Access 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:
HOURS - M-F 8:30-5:00pm CST

The Patient Access Rep is responsible for determining patient financial clearance decisions for complex and specialized cases, referrals, and service lines. This team is dedicated to completing patient access workflows to improve financial outcomes, decrease denials, and maximize reimbursement across the organization. Duties include obtaining, reviewing, and evaluating prospective patient's insurance coverage details provided by insurance providers to facilitate a decision regarding patient's eligibility to be treated at the hospital. The Rep utilizes defined policies and procedures to determine when escalations are required and documents patient benefit details into database repositories, which directly impacts patient eligibility communication, accurate and complete billing, correct reimbursement rates, pre-certification requirements, and maximized collections. This role collaborates with external payers and referring physician representatives, as well as internal departments including OIS/GSC, Site Pre-Certification, administration, financial counselors, registration, billers, and Patient Account Specialists.

Minimum Qualifications

High school graduate or equivalent.
Associates Degree preferred.
2-3 years' experience in insurance verification, insurance benefits, registration, billing and/or collections in a healthcare/physician office setting or professional environment is a MUST
Experience and strong working knowledge of computer applications and operating systems including Microsoft Office Suite.
Prefer experience and knowledge of insurance terminology (IE: Coordination of Benefits, Letter of Credible, and Medical Review), have a general understanding of cancer diagnoses, contract terms, reimbursement methods, and payer structures.
Strong analytical skills.
Outstanding customer service skills and professional etiquette.
Strong written and verbal communication skills, interpersonal skills, and telephone skills.
Excellent organizational skills, attention to detail and ability to multi-task in complex situations.
Must be efficient, reliable, flexible, goal oriented and adaptable to change, while maintaining high productivity levels.
Ability to solve problems independently or as part of a team
#LI-CTCA

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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.