What are the responsibilities and job description for the Sr Claims Billing Specialist: Revenue Cycle Operations position at Hoag Health System?
Job Description
Primary Duties And Responsibilities
Under minimal supervision this position will serve as a resource for the revenue cycle staff in areas including but not limited to manual charge entry, payor guidelines, payment posting and AR patient and Insurance collections. This position will work closely with the revenue cycle supervisor and management team in areas of workflow and day-to-day operations throughout the revenue cycle team. The Sr. medical billing specialist is also responsible for assisting in overseeing workflows and processes as well as continuously looking for improvements in the revenue cycle. Supports the Revenue Cycle Supervisor and management team responds positively to special projects and assigned responsibilities. Responsible for training any new hires in the various systems and workflows. The Sr. Medical Billing Specialist will be responsible to work adhoc projects for the various teams and serve as subject matter expert in regards to processes. Perform other duties as assigned.
Will assist in identifying and reporting issues working with the management team to help minimize re-work and address front-end process issues.
Qualifications
Education and Experience Required:
N/A
License Preferred
N/A
Certifications Required
N/A
Certifications Preferred
N/A
About Us
Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.
For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.
Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.
Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California.
To learn more about Hoag’s awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/ .
Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.
Primary Duties And Responsibilities
Under minimal supervision this position will serve as a resource for the revenue cycle staff in areas including but not limited to manual charge entry, payor guidelines, payment posting and AR patient and Insurance collections. This position will work closely with the revenue cycle supervisor and management team in areas of workflow and day-to-day operations throughout the revenue cycle team. The Sr. medical billing specialist is also responsible for assisting in overseeing workflows and processes as well as continuously looking for improvements in the revenue cycle. Supports the Revenue Cycle Supervisor and management team responds positively to special projects and assigned responsibilities. Responsible for training any new hires in the various systems and workflows. The Sr. Medical Billing Specialist will be responsible to work adhoc projects for the various teams and serve as subject matter expert in regards to processes. Perform other duties as assigned.
Will assist in identifying and reporting issues working with the management team to help minimize re-work and address front-end process issues.
Qualifications
Education and Experience Required:
- High School Diploma or equivalent, 3 years of experience in in the healthcare field of revenue cycle and medical professional billing High School diploma or higher
- Computer knowledge, Knowledge of EHR systems billing practice management systems, Excel, Office, Word, knowledge of ICD-10 codes, CPT codes, HCPCs and HIPPA
- Comprehensive knowledge in registration, revenue cycle practices, self-pay collections, insurance billing and payer regulations
- Effective communicator, critical thinking skills, and attention detail
- Proficient in Microsoft Word, Excel, Typing/Data Entry
- Certified coder is preferred
- Experience with billing and collections for providers in a multi-specialty setting
N/A
License Preferred
N/A
Certifications Required
N/A
Certifications Preferred
N/A
About Us
Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.
For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.
Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.
Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News &World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California.
To learn more about Hoag’s awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/ .
Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.