Patient Access Advocate

About City of Hope,
City of Hope's mission is to make hope a reality for all touched by cancer and diabetes. Founded in 1913, City of Hope has grown into one of the largest and most advanced 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 that is ranked top 5 in the nation for cancer care by U.S. News & World Report at its core, City of Hope’s uniquely integrated model spans cancer care, research and development, academics and training, and a broad philanthropy program that powers its work. 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 cancer treatment centers and outpatient facilities in the Atlanta, Chicago and Phoenix areas.

Budgeted backfill

The successful candidate:

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

Minimum of a High school diploma is requiredMust possess knowledge of Medical TerminologyHave experience in verifying medical benefitsAbility to Multitask
 

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, click here: Benefits Information