About City of Hope

City of Hope's mission is to deliver the cures of tomorrow to the people who need them today. Founded in 1913, City of Hope has grown into one of the largest cancer research and treatment organizations in the U.S. and one of the leading research centers for diabetes and other life-threatening illnesses. City of Hope research has been the basis for numerous breakthrough cancer medicines , as well as human synthetic insulin and monoclonal antibodies. With an independent, National Cancer Institute-designated comprehensive cancer center at its core, City of Hope brings a uniquely integrated model to patients spanning cancer care, research and development, academics and training, and innovation initiatives. 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. City of Hope's affiliated group of organizations includes Translational Genomics Research Institute and AccessHope TM . For more information about City of Hope, follow us on Facebook , Twitter , YouTube , Instagram and LinkedIn .

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.

Position Summary

To ensure timely and accurate submission of electronic claim files and manage daily external errors, provide weekly reporting to management, and facilitate resolution of claim errors with clearinghouse and Epic analysts.

Key Responsibilities include:

• Work in collaboration with other billers to resolve external errors for all payors and provide feedback to all of us on the findings (example: errors that should be turned off)
• Analyze edits to determine if the edits should be
  • Built in Epic router, charge, claim, or registration/insurance edits
  • Identify department where edits should be routed (biller vs coder)
  • Turned off in Change HC in collaboration with Foundation IS staff to resolve
• Collaborate with Leads/mangers in other departments regarding edits to explain and understand implications/impact to work flow and/or revenue
• Participate in the weekly Change Healthcare Calls
• Provide a weekly summary of claim volumes in Change HC and Hold weekly/biweekly/monthly (based on volumes)
• Lead discussion with management and leads (prior to Fridays call) with change Health to provide an agenda
• Reconcile the paper claims, report any errors to the Leads/manager and accept the run. Forward claims to the correspondence team to mail/distribute reporting
• Resolves daily claim edits and errors within 24-48 hours from the claim creation date.
• Identifies error trends and collaborates with management and system analyst to create edits/system rules to prevent delays in revenue
• Follows established City of Hope and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan. Practices a high level of integrity and honesty in maintaining confidentiality.
• Performs other related duties as assigned or requested.

Basic education, experience and skills required for consideration:

• High School Diploma
• Three (3) years of experience in a hospital, medical group or Independent Practice Associations (IPA) with specific knowledge of medical EOBs/ERAs/RADs

Additional Information:

• As a condition of employment, City of Hope requires staff to comply with all state and federal vaccination mandates.
• This position is represented by a collective bargaining agreement
• The estimated pay scale represents the typical [salary/hourly] range City of Hope reasonably expects to pay for this position, with offers determined based on several factors which may include, but not be limited to, the candidate's experience, expertise, skills, education, job scope, training, internal equity, geography/market, etc. This pay scale is subject to change from time to time.

City of Hope is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, or status as a qualified individual with disability.