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

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.

As a successful candidate, you will:

• 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)
  
  

• Your qualifications should include: 

  • 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

City of Hope is an equal opportunity employer.  To learn more about our commitment to diversity, equity, and inclusion, please click here.

To learn more about our Comprehensive Benefits, please CLICK HERE.