Hoag Benefits Overview

Analyzes healthcare revenue, managed care contracts, reimbursement changes, payer mix, acuity, volume, and profitability. Supports contract modeling, underpayment identification, Medicare and Medi-Cal impact analysis, month-end reporting, operating revenue budgeting, and financial guidance for clinical and administrative leadership. Requires healthcare finance experience, knowledge of managed care and government reimbursement, hospital revenue cycle operations, medical coding concepts, accounting principles, and financial reporting.

Responsible for resolving patient and payor accounts, obtaining maximum reimbursement, initiating appeals for underpayments, interpreting EOBs/ERAs, using Epic and patient accounting systems, documenting actions, establishing payment arrangements, and mentoring/training peers while meeting productivity and quality standards.

Supports heart catheterization lab operations through patient transport, room turnover, equipment and specimen handling, procedure preparation, patient positioning and prepping, supply management, and communication. In the Cath Lab, the assistant manages supplies using a LEAN par system, coordinates sterile instruments, transports non-controlled pharmaceuticals, supports staff training on sanitization and supply distribution, and serves as a department resource and product liaison.