Hoag Memorial Hospital Presbyterian

Hoag Memorial Hospital Presbyterian
Newport Beach California

Full time, 1st shift opening:


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.


Job Essential Functions:


  • Payment Poster & Research Specialist
  • 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.


Education, Training and Experience Required:


  • High school diploma or equivalent with 2-3 years of billing and/or collection experience.


Skills or Other Qualifications Required:


  • 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.


Position Reports to: Supervisor, Business Services

Basic Qualifications