City of Hope · 15 hours ago
Financial Clearance Representative
City of Hope is a leading cancer research and treatment organization in the U.S., dedicated to making hope a reality for those affected by cancer and diabetes. The Financial Clearance Representative will manage financial clearance processes, assist patients with insurance authorizations, and ensure compliance with relevant regulations.
AssociationEducationHealth Care
Responsibilities
Manage financial clearance processes for patients
Assist patients with insurance authorizations
Ensure compliance with regulatory requirements such as HIPAA and Medicare/Medicaid
Utilize multiple systems within the organization and external insurance portals
Prioritize work assignments for efficiency and timely precertification
Qualification
Required
High school diploma/equivalent
2 years' experience in this field or related field such as medical coding, financial counseling setting or similar service profession
Solid knowledge of medical terminology, ICD9 codes, CPT/HCPC's codes
Advanced written and verbal communication skills
Excellent organizational skills, ability to manage multiple priorities and responsibilities
Outstanding communication and customer service skills
Ability to utilize critical thinking and apply sound judgment and assessment skills for decision-making
Candidate must be proficient using a computer, using online websites and email
Ability to utilize multiple systems within the organization as well as outside such as insurance authorization portals
Possess in-depth knowledge regarding regulatory compliance, HIPAA, COBRA, Patient rights, EMTALA, and Medicare/Medicaid
Ability to prioritize work assignments for efficiency and to meet timeframes for precertification
Preferred
Previous oncology background preferred
Company
City of Hope
City of Hope is a cancer research and treatment non-profit organization specializing in diabetes and other life-threatening illnesses.
Funding
Current Stage
Late StageTotal Funding
$10.3MKey Investors
California Institute for Regenerative Medicine
2024-05-20Grant· $5.4M
2022-02-22Grant· $4.9M
Leadership Team
Recent News
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