Revenue Cycle Lead

City of Hope; Irwindale (CA); On-site; USD 65,000 - 85,000; Full time

Job summary

City of Hope is looking for a Revenue Cycle Lead responsible for managing workload and productivity, training staff, and collaborating with departments to enhance revenue cycle performance. The successful candidate will have at least seven years of experience in medical billing and strong knowledge of insurance processes.

This role demands a proactive approach to policy development, support for staff performance monitoring, and ensuring compliance with HIPAA guidelines. Join City of Hope to make meaningful contributions in a compassionate environment.

Qualifications

• High school diploma or equivalent.
• Minimum of seven (7) years of experience performing medical billing functions.
• Extensive knowledge of insurance carrier procedures, including Medicare, Medi-Cal and other third-party payors.

Responsibilities

• Assist supervisor in developing goals and monitoring work queues.
• Interacting with co-workers and insurers to complete tasks.
• Respond timely to correspondence from patients and payers.

Skills

Medical billing experience

Insurance correspondence

Knowledge of Medicare and Medi-Cal

Reading Explanations of Benefits (EOB)

Multi-tasking

Education

High school diploma or equivalent

Job description

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, and treatment facilities in 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.

Position Summary

The Revenue Cycle Lead functions as the subject matter expert. The Lead is responsible for assisting the supervisor and staff with workload and productivity management as well as new employee training. This individual is also responsible for collaborating with other departments to continuously improve revenue cycle performance by identifying, communicating, and resolving issues with the supervisor. The Revenue Cycle Lead will also provide leadership and guidance to the staff through knowledge of the company’s internal policies and procedures in addition to industry standard billing and collection guidelines. The individual in this role works in a team environment to fulfill the mission and goals of the Division. This role is knowledgeable and supports the different functions within Revenue Cycle including but not limited to collections, data processing, payment posting, refunds, coverage validation and billing.

As a successful candidate, you will

• Initiate proactive measures that result in developing policies, policy changes and policy implementation.
• Assist supervisor in developing goals, monitoring work queues, and distributing assignments to staff.
• Help to monitor performance and identify areas in need of improvement.
• Interact with co‑workers, managers and other representatives to complete projects and tasks.
• Respond timely and accurately to all incoming related correspondence and inquiries from payers, patients and other authorized parties.
• Report any trends to supervisor/manager for appropriate follow‑up.
• Assist supervisor in hiring and training new staff, developing training materials, and providing ongoing instruction to staff as needed.
• When required, may assist with providing feedback on staff conduct.
• Respond to all emails and phone calls from other divisions, patients or insurance companies in an efficient and courteous manner.
• Maintain compliance with HIPAA guidelines and ensure staff maintain discipline when handling patient information.
• Demonstrate teamwork and provide assistants with special projects when assigned.
• Maintain a positive image when dealing with departmental personnel and other City of Hope employees.

Your qualifications should include

• High school diploma or equivalent.
• Minimum of seven (7) years of experience performing medical billing functions.
• Minimum experience includes corresponding with insurance companies in resolving patient accounts.
• Extensive knowledge of insurance carrier procedures, including Medicare, Medi‑Cal and other third‑party payors.
• Experience with reading Explanations of Benefits (EOB) statements. Proven ability to handle multiple conflicting tasks.

City of Hope employees’ pay is based on the following criteria: work experience, qualifications, and work location.

City of Hope is an equal opportunity employer.