1-3 years of experience
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Employment Type:
Full time
Job Category:
Health Care Provider
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Hoag Memorial Hospital Presbyterian | Newport Coast, California
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Job Description

Addresses all incoming inquiries from any customer; patient, insurance company, Hoag employee,

whether by telephone, mail or in person. Documents all activity in the facility's legacy, Patient

Accounting System. Is familiar with Medi-Cal and other government programs, in order to refer

patients for financial assistance. Is familiar with the facility's charity and payment plan options, in

order to assist patient without third party coverage. Contacts patients regarding self pay balances on the

accounts receivable to evaluate patient's ability to pay and collect monies due to the hospital. Able to

work with minimal supervision.


Assists patient with billing, services, and insurance questions on the phone, via email or in person.

Contacts patients/guarantors to secure payment for services provided.

Documents all calls and actions taken in the appropriate systems. Sets next work date if follow-up is


Confirms/updates with patient/guarantor insurance and patient demographics information. Makes

appropriate changes and submits/re-submits claims as indicated.

Informs patients/guarantors of opportunities for financial assistance, including Medi-Cal/MSI and

other available governmental or private programs.

Is familiar with the financial assistance program to provide patient/guarantor assistance with

completion when appropriate.

Establishes a payment arrangement when patients are unable to pay in full, at time of payment is due.

This may include installment plans and patient settlements, in accordance with Hoag policies.

Patient complaints/disputes are documented and forwarded to appropriate person for follow up.

Responsible for following all collection policies and procedures.

Meets quality assurance and productivity standards.

Returns all voice mail messages/emails same day received.

Generates itemized bills as needed to any customer, internal or external.

Refers all mail and phone calls of outsourced accounts to the vendor liaison.

Works patient correspondence in accordance to department policies.

Takes part in all training about third party requirements. Participates actively in any training

opportunities to enhance knowledge to help Hoag patients.

Performs other duties as assigned.


Education, Training and Experience


High School graduate or equivalent.

Two years experience in a hospital business office with a high call volume setting.

Understanding of hospital reimbursement methodologies, including DRGs, APCs and standard

payment methodology.


Knowledge of ICD-9, CPT-4 and HCPC's coding systems.

Understanding of contract payer policies and procedures.

Ability to interpret Managed Care Contracts.

Skills or Other Qualifications


Expert knowledge of self pay collection techniques.

Working knowledge of Medicare, Medicaid and all other third party payment methods.

Effective written and verbal communication skills.

Excellent customer service skills and telephone etiquette.

Problem solving skills essential.

Insurance knowledge and communication with payers.

Ability to think independently and use good judgment for situations which require initiative and


Computer literacy, including proficiency in Word and Excel, some knowledge of Access


Knowledge of basic office equipment.

Ability to establish work priorities and prioritize needs to meet required timelines.

Analytical and problem-solving skills.

10 Key by touch and ability to type 45 wpm.

Basic math calculation skills.


Bilingual English/Spanish.

About Hoag Memorial Hospital Presbyterian

Located on the bayside bluffs overlooking Newport Beach, Hoag Memorial Hospital Presbyterian stands atop the list of the finest medical facilities in Southern California. Fully accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and designated as a Magnet hospital by the American Nurses Credentialing Center (ANCC), Hoag Memorial Hospital Presbyterian is a 511-bed acute care, not-for-profit hospital that provides a quality work environment and quality lifestyle. This unique combination provides an enriching environment like no other.

A quality work environment and quality lifestyle enables our nurses to chart a satisfying course for every area of their lives - professional, family, friends and personal pursuits. Along with Hoag's commitment and family-oriented approach to providing the highest quality patient care, there is an indisputable pride in the way we fulfill our healing mission.

We invite you to be a part of the dynamic and rewarding career opportunities available at our top-rated medical facility, while enjoying the added luxury of the renowned Southern California lifestyle.

Take a look inside and we believe you'll see why there is no place like Hoag.

View available openings at Hoag Memorial Hospital Presbyterian


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About Hoag Memorial Hospital Presbyterian

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Learn more about Hoag Memorial Hospital Presbyterian

Learn more about Hoag Memorial Hospital Presbyterian

This company profile was created by AfterCollege and is about Hoag Memorial Hospital Presbyterian. This page is not endorsed by or affiliated with Hoag Memorial Hospital Presbyterian. For questions regarding company profiles, please email: care@aftercollege.com.