Payment Poster & Research Specialist

Location: Newport Beach, CA 92663
Duration: 10 months

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, Change Healthcare (previously Emdeon), Streamline and nThrive (previously 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 SPECIFIC ESSENTIAL FUNCTIONS:
 
·         Posts batches timely according to department guidelines.
·         Works closely with Accounting Team 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.
·         Post bank returned checks and credit card chargeback (NSF, stop payments, etc.).
·         Research & identify original batch postings for tracking purposes and document on reconciliation log for Accounting Team.
·         Research credit card chargeback disputes by reviewing patient accounts, e-Cashiering reports, Chartmaxx, etc.
·         Inform supervisor of all unresolved issues or potential problems in a timely manner.
·         Performs other duties as assigned
 
EDUCATION, TRAINING AND EXPERIENCE:
 
Required:
 
Payment Poster & Research Specialist:
 
·         High school diploma or equivalent with 2-3 years of billing and/or collection experience
·         Demonstrates accuracy and timely follow-up of all postings and research
 
SKILLS OR OTHER QUALIFICATION:
 
Required:
 
Payment Poster & Research Specialist:
 
·         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


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