Job Description

Account Follow Up

Cancer care is all we do

Hope in healing

Cancer Treatment Centers of America® (CTCA®) 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.

Job Description:

Job Summary/Purpose:

The Out of Network Account Follow Up Rep manages the CTCA patient financial experience as the analytical and relationship arm of the Patient Accounts lifecycle.  This role performs account management and analysis; as well as complete, timely, and accurate follow up on both hospital and physician account balances with the objective of optimizing reimbursement and ensuring that our patients receive the best CTCA has to offer in account management.  This is role specializes in out of network reimbursement and requires the ability to negotiate directly with payers for additional reimbursement on accounts that pay less than expected.  In addition to standard account follow up the out of network follow up representative will file post payment appeals and support the prompt pay and single case agreement process.

The Account Follow Up Rep interacts with, and leverages, external and internal sources to overcome barriers, problem solve, and ultimately resolve account balances.   This includes patients, caregivers and family members, site stakeholders, contracted and non-contracted insurance, third party payers, and employers as necessary. The Account Follow Up Rep function is directly responsible for approximately 30% of ongoing cash flow and therefore, is expected to review and determine appropriate management actions on assigned patient accounts at a minimum of every 45 days or as the collection process to resolution requires. Through the account follow-up and analysis process the Account Follow Up Rep will recommend final resolution for account balances that cannot be collected.  This can be through adjustment, month end review with the site CFO, or collection/litigation.

The Account Follow Up Rep must be able to utilize a holistic approach to managing a patient account from the time it is received through to resolution. The Account Follow Up Rep is considered an agent acting on behalf of the patient, as well as CTCA, and therefore must exemplify the highest in CTCA standards to ensure a consistently positive patient experience. Must be capable of understanding and reconciling that an account has been verified, billed, and paid correctly. Must be capable of analyzing account payments and adjustments. Ensures account statements are accurate and timely and with the appropriate statement message.  Fields patient inquiries and complaints on a daily basis. The Account Follow Up Rep reports directly to the Account Follow Up Supervisor.

Minimum Qualifications:

  • Must have a high school diploma/equivalent or passed proficiency exam, with strong analytical skills.
  • Associates degree in related field is desirable.
  • BA/BS is preferred.
  • Must have a minimum of 3 years or greater A/R experience in a hospital or physician healthcare setting which will include insurance and self-pay healthcare collections/billing as well as insurance verification experience.



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. 

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Application Instructions

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