Patient Access Advocate
About City of Hope
City of Hope is an independent biomedical research and treatment organization for cancer, diabetes and other life-threatening diseases.
Founded in 1913, City of Hope is a leader in bone marrow transplantation and immunotherapy such as CAR T cell therapy. City of Hope's translational research and personalized treatment protocols advance care throughout the world. Human synthetic insulin, monoclonal antibodies and numerous breakthrough cancer drugs are based on technology developed at the institution. AccessHope, a subsidiary launched in 2019 serves employers and their health care partners by providing access to City of Hope's specialized cancer expertise.
A National Cancer Institute-designated comprehensive cancer center and a founding member of the National Comprehensive Cancer Network, City of Hope is ranked among the nation's "Best Hospitals" in cancer by U.S. News & World Report and received Magnet Recognition from the American Nurses Credentialing Center. Its main campus is located near Los Angeles, with additional locations throughout Southern California, Arizona, Illinois and Georgia.
Job Description:
The Advocate, Patient Access Rep reviews and evaluates a prospective and current patient's insurance coverage after obtaining the benefits from an interview process of over 40 detailed questions with the patient's insurance payer. The Advocate, Patient Access Rep uses the quoted benefit information to facilitate a decision regarding a patient's eligibility to be treated at COH while ensuring that the COH Patient Financial Acceptance policy and specific site exception policies are applied. The Advocate, Patient Access Rep determines when a patient should be escalated to site CFO's for Administration Approvals. The Advocate, Patient Access Rep documents individual patient benefits into the database repositories for insurance data which serve as the databases for communicating benefit information to both prospective and current patients and for insuring accurate and complete billing, correct reimbursement rates, pre-certification requirements, and maximized collections. The Advocate, Patient Access Rep communicates daily with OIS, OIS Leadership, Care Managers, Registration Stakeholders, Pre-Certification Coordinators, Site CFO's, Site VP's of Finance, Billers, CAR's, PACR's and Account Management Specialists. The Advocate, Patient Access Rep reports directly to the Advocate, Patient Access Supervisor.
Job Qualifications
High school graduate or equivalent.
Minimum of 1-2 years' experience in insurance verification, insurance benefits, registration, billing and/or collection, in a healthcare / physician office setting or professional environment, preferred.
Experience and strong working knowledge of computer applications and operating systems, including Microsoft Office Suite.
Prefer experience with insurance terminology (IE: Coordination of Benefits, Letter of Credible, and Medical Review), with a general understanding of cancer diagnoses, contract terms, reimbursement methods, and payer structures.
Strong analytical skills
Outstanding customer service skills and professional etiquette.
Strong written and verbal communication skills, interpersonal skills, and telephone skills.
Excellent organizational skills, attention to detail and ability to multi-task in complex situations.
Must be efficient, reliable, flexible, goal oriented and adaptable to change, while maintaining high productivity levels.
Ability to solve problems independently or as part of a team.
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Pay Range
$16.50 - $23.45
Placement within the identified pay range is based on individual and market factors including, but not limited to, experience, education, credentials (including licenses and certifications), geographic location, market competition, skill set (including market availability of required skills), assigned/anticipated job tasks, and level of responsibility. These factors are considered without regard to an individual's status as a member of any protect group pursuant to federal, state, and/or local law.
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.
Visit: Jobs.cancercenter.com to begin your journey.
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