Hoag Memorial Hospital Presbyterian

Job Description

About The Position

Join Hoag’s high-performing Revenue Cycle team and play a key role in ensuring accurate, timely, and impactful financial outcomes for our patients and providers. As a Collector II, you’ll be the expert behind the scenes—resolving accounts, maximizing reimbursements, and driving excellence across billing and collections.

Responsibilities

What You'll Do

You’ll serve as the account representative for Hoag, working with insurance companies, government payors, and patients to resolve payments and account balances. Your role will include:

• Managing assigned accounts within work queues with precision and urgency
• Evaluating claims using contract management tools (APC, DRG, APRDRG) to ensure proper pricing
• Initiating appeals for underpayments and escalating discrepancies in billing or coding
• Responding to payor and patient correspondence in a timely and professional manner
• Interpreting EOBs and ERAs to verify accurate payments and educate patients and colleagues
• Applying knowledge of hospital billing forms (UB04, HCFA 1500) and diverse payor types (Medicare, Medi-Cal, TriCare, PPOs, HMOs, etc.)
• Documenting all actions in patient accounting systems and accurately coding insurance plan details
• Establishing payment arrangements and applying applicable rates or discounts
• Processing bankruptcy and deceased patient accounts when applicable
• Consistently meeting productivity and quality assurance standards

What Sets a Collector II Apart

This advanced role goes beyond core responsibilities. As a Collector II, you’ll also:

• Assist across multiple departments, payors, and special projects
• Independently research and resolve complex account issues
• Support and train peers as needed
• Maintain a performance record of exceeding standards for at least six consecutive months
• Demonstrate a strong understanding of the full Revenue Cycle—from authorizations to collections
• Uphold a clean record with no corrective actions in the past six months

Why Join Hoag?

• Work in a collaborative, high-performing team that values integrity and innovation
• Enjoy competitive compensation, comprehensive benefits, and opportunities for growth
• Make a meaningful impact behind the scenes of healthcare

Qualifications

Education and Experience

• High school diploma or equivalent required.
• Three years of experience in a hospital/medical and/or related field or strong background in customer service.
• Working knowlege of Epic Resolute, Eric Care, and Epic CPOE.
• Intermedicate Excel knowledge is a must.

License 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, 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.