Revenue Assurance Representative
Cancer care is all we do
Hope in healing
Cancer Treatment Centers of America® (CTCA), part of City of Hope, takes a unique and integrative approach to cancer care. Our patient-centered care model is founded on a commitment to personalized medicine, tailoring a combination of treatments to the needs of each individual patient. At the same time, we support patients’ quality of life by offering therapies designed to help them manage the side effects of treatment, addressing their physical, spiritual and emotional needs, so they are better able to stay on their treatment regimens and get back to life. At the core of our whole-person approach is what we call the Mother Standard® of care, so named because it requires that we treat our patients, and one another, like we would want our loved ones to be treated. This innovative approach has earned our hospitals a Best Place to Work distinction and numerous accreditations. Each of us has a stake in the successful outcomes of every patient we treat.
The Revenue Assurance Representative is responsible for reading patient charts and ensuring that all appropriate charges are captured to maximize revenue. The Representative collaborates with department staff, clinicians, and leadership and/or other designated contacts to continually improve and maintain the efficiency and accuracy of the overall charging process. Identifies, analyzes, and reconciles billing errors or omissions and safety events by reviewing documentation. Educates clinical staff on proper Medicare approved charting technique to reduce errors. Enters charges and completes chart/charge reviews daily. Works closely with Bill Assurance Team to ensure all charge master codes are up to date and accurate. The Representative works with the assigned department to ensure appropriate revenue capture process for all the new service offerings. Collaborates with team to provide coverage for team members who are on leave status. Maintains standard work instructions and stays current on cross-training for other assigned areas.
Reviews daily department census for completeness and accuracy. Reads each patient chart for 100% accuracy and compliance to regulations. Follows up with appropriate personnel to obtain complete information.
Posts patient charges and any corrections in less than 3 business days including updates for chart accuracy by clinical staff.
Keep updated Standard Working Instructions for their assigned departments and cross - train to other departments as assigned.
Performs clerical functions incidental to account maintenance activities.
Assists in maintaining manuals, logs and other required documentation as required.
Generates reports for review as required or requested by program director or others.
Recognizes inappropriate patient charge management, resolves issue/problem and completes written reports for department managers.
Integrates cost effective measures into practice: Manage costs while rendering quality department charge capture.
Maintains and demonstrates knowledge of charge capture issues affecting assigned department.
Education: High School Diploma/ GED Required
Training: Skills in office computer programs and proficient in Microsoft Office Excel, Word, and Outlook.
Each CTCA employee is a Stakeholder, driven to make a true difference and help win the fight against cancer. Each day is a challenge, but this unique experience comes with rewards that you may never have thought possible. To ensure each team member brings his or her best self, we offer exceptional support and immersive training to encourage your personal and professional growth. If you’re ready to be part of something bigger and work with a passionate, dynamic group of care professionals, we invite you to join us. Visit: Jobs.cancercenter.com to begin your journey.
We win together
Each CTCA employee is a Stakeholder, driven to make a true difference and help win the fight against cancer. Each day is a challenge, but this unique experience comes with rewards that you may never have thought possible. To ensure each team member brings his or her best self, we offer exceptional support and immersive training to encourage your personal and professional growth. If you’re ready to be part of something bigger and work with a passionate, dynamic group of care professionals, we invite you to join us.
Visit: Jobs.cancercenter.com to begin your journey.