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.

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.

General Responsibilities:

• Initiates proactive measures that result in developing policies, policy changes and policy implementation.
• Assists supervisor in developing goals, monitoring work queues, and distributing assignments to staff.
• Helps to monitor performance and identify areas in need of improvement.
• Interacts with co-workers, managers and other representatives to complete projects and tasks.
• Responds timely and accurately to all incoming related correspondence and inquiries from payers, patients and other authorized parties.
• Reports any trends supervisor/manager for appropriate follow-up.
• Assists supervisor in hiring and training new staff, developing training materials, and provides 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.
• Maintains compliance with HIPAA guidelines and ensures staff maintain discrepancy when handling patient information.
• Demonstrates teamwork and provides assistants with special projects when assigned.

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.
• Demonstrated knowledge of claims review and analysis; ICD-10, CPT, and HCPCS coding; and medical terminology

Additional Information: