Job Summary:
-The Payment Poster & Research is responsible for posting and reconciliation of all electronic and manual insurance payments and patient payments.
-Works directly with internal departments, external business partners (vendors, banks) and Accounting for delivery of service to include but not limited to: timely and accurate posting of all payments and cash for Hoag Hospital Newport Beach, Hoag Hospital Irvine and Hoag Orthopedic Institute.
-Has expert knowledge of Affinity, Emdeon, Streamline and MedAssets.
-Works efficiently to ensure payments are posted in a timely manner.
-Works well under pressure, has attention to detail, can multitask and has proficient computer and mathematical skills.
-Posts batches timely according to department guidelines.
-Works closely with Accounting to ensure AR reporting is accurate and balances daily.
-Organizes daily posting logs and submits to Accounting each day for reconciliation of daily postings.
-Works facilities Suspense accounts weekly to identify & transfer funds to appropriate patient account(s).
-Conducts payment posting research: Includes identifying posting error, transferring funds correctly and documenting on reconciliation log for reporting to Accounting.
-Contact payors for additional documentation to identify patient accounts.
-Review and work email requests from staff, management and other departments for payment posting research within the set timeliness guidelines.
-Effectively interfaces with other organizational departments and project team members.
-Works closely with vendors on missing posting files or posting file errors, including unbalanced files.
-Pull payment reports from vendor websites as needed for help in posting research and patient account identification.
-Participates actively in any training opportunities to enhance knowledge to help Hoag patients.
-Participates in problem solving and process improvements.
-Meets quality assurance and productivity standards.
-Demonstrates knowledge of and effectively uses patient account systems (Affinity, Chartmaxx, MedAssets and Emdeon).
-Able to work with minimal supervision.
-Performs other duties as assigned.
Required Education:
-High school diploma or equivalent.
Required Skills & Experience:
-Analytical, critical thinking and sound decision making skills.
-Basic skills in Microsoft Office (Word/Excel).
-Ability to communicate in a clear and professional manner.
-Strong interpersonal skills.
-Ability to problem solve, prioritize and follow through completely with assigned tasks.
-2 to 3 years of billing and/or collection experience.