Medical Collections & Reimbursement Specialist

City of Hope; Irwindale (CA); On-site; USD 42,000 - 62,000; Full time

Job summary

City of Hope is seeking a Collector to manage a portfolio of accounts and ensure timely reimbursement for professional services. This role supports the Division’s financial goals with accuracy and integrity.

The Collector will follow up on accounts, verify payment conditions, and work with payers and patients to resolve balances while collaborating with internal teams to drive results.

Qualifications

• Extensive knowledge of insurance carrier procedures.
• Experience with reading Explanation of Benefits (EOB) statements.
• Proven ability to handle multiple conflicting tasks.
• Experience communicating with patients and insurance companies to resolve accounts.

Responsibilities

• Follow up on assigned accounts within billing and accounts receivable systems to meet performance goals.
• Proactively resolve accounts through written and verbal communication, including appeals as needed.
• Verify and ensure all conditions for payment are met, including charges, insurance eligibility, and benefit coverage.
• Review and validate financial classifications, authorizations, and certifications.
• Confirm accuracy of CPT and ICD coding, as applicable.
• Respond promptly and accurately to inquiries from payers, patients, and authorized representatives.
• Identify and report trends in correspondence to management for further action.
• Collaborate with internal teams and external stakeholders to gather necessary information efficiently.
• Communicate with patients as needed to support account resolution.
• Recommend and implement solutions to resolve outstanding patient accounts.

Skills

Insurance procedures

EOB reading

Accounts receivable

Patient communication

Education

High school diploma or equivalent

Job description

City of Hope is seeking a Collector to manage a portfolio of accounts and ensure timely reimbursement for professional services. This role supports the Division’s financial goals with accuracy and integrity.

The Collector will follow up on accounts, verify payment conditions, and work with payers and patients to resolve balances while collaborating with internal teams to drive results.