Job Detail

Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope’s growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today.

This role will 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.

As a successful candidate, you will:

• Post insurance payments and adjustments to patient accounts in accordance with the ERA/EOB information from the payor.
• Reconcile payment files to Cash Management records or checks and log completed batches in reconciliation log daily.
• Accurately post insurance denial codes to patient accounts.
• Manual Payments (Paper conversion to 835 files, insurance credit card payments, etc.)
• Must be able to post minimum of 6,300 transactions per month.
• Med-Cal ERA - Must be able to post minimum of 8,100 transactions per month.
• Case Rate Payment Batches – Ability to collaborate with Case Rate billers and adhere to timely posting requirements per department policy.
• Verify expected reimbursement and adjustment based upon the provided contract list in order to identify and calculate underpayments.
• Post the correct adjustment reason and/or payment/adjustment note to help initiate appeals process for underpaid claims.
• Read “explanation of benefits” for any extraneous information.
• Organizational Expectations:
  • Demonstrates behavior that supports the City of Hope Medical Foundation’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.
  • Follows established City of Hope and department policies, procedures, objectives, performance improvement, attendance, safety, environmental, and infection control guidelines, including adherence to the workplace Code of Conduct and Compliance Plan.
  • Practices a high level of integrity and honesty in maintaining confidentiality.
  • Performs other related duties as assigned or requested.

Your qualifications should include:

• High school diploma or equivalent.
• Minimum 1-2 years of 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.
• Preferably: AA or BA. Payment posting to charge ledgers. Proficient in Epic, Filemaker, MS Excel.

City of Hope is an equal opportunity employer. To learn more about our commitment to diversity, equity, and inclusion, please click here. To learn more about our Comprehensive Benefits, please CLICK HERE.

Additional Information:

• This position is represented by a collective bargaining agreement.