To efficiently and effectively post all insurance and patient payments to open invoices. The payment poster will also prepare adjustments as directed by internal policies and procedures. The payment poster works in a team environment and acts to fulfill the mission and goals of the Division.
Key Responsibilities include:
- Lockbox – Must be able to post minimum of 6,300 transactions per month.
- Med-Cal – Must be able to post minimum of 8,100 transactions per month.
- Medicare and Transplant – Must have a maximum of 4 days lag from the most current batch.
- Post insurance payments to patient accounts.
- Post insurance denial codes to patient accounts.
- Reconcile and log completed batches to Filemaker.
- Identify and calculate no or low payments by posting the correct adjustment reason and/or payment/adjustment note to initiate appeals process.
- Read “explanation of benefits” for any extraneous information.
- Verify expected reimbursement and adjustment based upon the provided contract list.
- Identify all insurance payments as applicable to patient accounts.
- Demonstrates behavior that supports the City of Hope Medical Group’s mission.
- Attends required orientation and training seminars.
- Meets production standards within established time requirements.
- Work product and performance meets quality standards.
- Demonstrates respect and positive interpersonal skills with patients, clients, the public, managers, and co-workers—a team player.
- Maintains confidentiality of patient care and business matters.
- Observes time, attendance, and dress code standards.
- Protects the safety of others and of the physical plant and equipment, following institution policies, fire, safety and infection control regulations.
- Special projects as assigned.
High School graduate or equivalent.
Minimum 1-2 years experience performing follow-up to patient accounts relative to professional fee billing functions. Minimum experience includes corresponding with patients and insurance companies in resolving patient accounts.
About City of Hope
City of Hope, an innovative biomedical research, treatment and educational institution with over 4000 employees, is dedicated to the prevention and cure of cancer and other life-threatening diseases and guided by a compassionate, patient-centered philosophy. Founded in 1913 and headquartered in Duarte, California, City of Hope is a remarkable non-profit institution, where compassion and advanced care go hand-in-hand with excellence in clinical and scientific research. City of Hope is a National Cancer Institute designated Comprehensive Cancer Center and a founding member of the National Comprehensive Cancer Network, an alliance of the nation’s 20 leading cancer centers that develops and institutes standards of care for cancer treatment.
City of Hope strongly supports and values the uniqueness of all individuals and promotes a work environment where diversity is embraced. Equal Opportunity / Affirmative Action Employer.
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