Under the supervision of the Medi-cal/Managed Care/Data Control Supervisor, this position is responsible for accurate and timely posting of payments/remittance advices to patient and general ledger accounts. The Lead is responsible for ensuring the effective workflow of his/her assigned area and prioritizing job duties. They perform all tasks efficiently and accurately. Engages in performance improvement activities as needed and serves as a communication facilitator for area of responsibility. Prepares and completes All Payer contractual adjustments according to All Payer remittance advices/EOB/s ERA’s. Accurately executes and balances all other electronic remittances posting jobs to patient accounts. Meet and exceed the minimum productivity volume, and standards of work as defined within the departmental policies and procedures. Responsible for updating Patient Account related errors/entries including charge capture issues including charge corrections or transfers in AM&MS4&SFM identified by various departments. This position will oversee duties and tasks for all 3 PIH facilities: Whittier, Downey, and Good Samaritan.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

Required Skills

• Strong demonstrated leadership and organizational skills
• Critical thinking attention to detail and problem-solving skills to identify and resolve in a timely manner.
• Ability to use 10-key calculator, personal computer(PC), FAX machine and on-line computer terminal.
• Ability to perform multiple tasks, good mathematical skills sound decision making abilities, understand bank deposit transactions and good verbal and written communication skills.
• Must have good visual acuity and be able to work in a sedentary environment which may include repetitive motion.
• Ability to learn new systems, become proficient in development of reports via hospital systems and tools provided, proficient in excel and word document.

Required Experience

Required:

• High school diploma or GED
• Minimum 2 years of experience in a hospital or business office experience
• 1 to 2 years data entry or keypunch experience
• Must be able to handle self in a mature, dependable, conscientious, and honest manner.

Preferred:

• n/a

• Strong demonstrated leadership and organizational skills
• Critical thinking attention to detail and problem-solving skills to identify and resolve in a timely manner.
• Ability to use 10-key calculator, personal computer(PC), FAX machine and on-line computer terminal.
• Ability to perform multiple tasks, good mathematical skills sound decision making abilities, understand bank deposit transactions and good verbal and written communication skills.
• Must have good visual acuity and be able to work in a sedentary environment which may include repetitive motion.
• Ability to learn new systems, become proficient in development of reports via hospital systems and tools provided, proficient in excel and word document.