Rady Children's Hospital-San Diego · 1 month ago
Payment Application Specialist - Home Care-Patient Financial Services
United States
Full-time
Remote
Entry, Mid Level
$23.10/hr - $31.77/hr
2+ years expRady Children's Hospital-San Diego is seeking a Payment Application Specialist who will be responsible for researching, auditing, reconciling, and applying cash receipts to accounts receivable. The role involves interpreting explanations of benefits, processing payments and denials, and improving payment application processes within the team.
Health Care
Responsibilities
Researches, audits, reconciles and applies all cash receipts to AR accounts
Skilled at researching, auditing, and reconciling payments for the respective departments
Able to interpret explanations of benefits (EOBs) and reconcile and apply payments, recoupments, and provider level adjustments (PLBs)
Identifies external payments and non-patient payments, and takes proper steps to transfer to the appropriate entity/general ledger account using designated adjustment codes
Processes payments and denials with the correct denial/remittance codes and applies denials/payments to the appropriate account/liability bucket
Handles processing of Non-Sufficient Funds (NSF) payments
Conducts in-depth research to resolve any balancing issues or to reconcile unidentified payments posted to clearing accounts
Identifies issues with ERAs/contractual calculations/payer compliance and escalates appropriately
Uses system generated reports, performs in-depth research and reconciliation of variances in the internal balancing tool
Recognizes and shares areas for process improvements
Considered a subject matter expert (SME) in multiple areas of payment application and trains team members/documents processes/participates in workflow testing and other projects in order to improve the overall knowledge and function of their team
Performs other duties as assigned
Qualification
Required
H.S. Diploma, GED, or Equivalent
2 Years of Experience
Preferred
5 Years of Experience
One year college (accounting courses) or equivalent education/experience
Company
Rady Children's Hospital-San Diego
Ranked as one of the 10 best children’s hospitals in the nation by U.S.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$0.4MKey Investors
Hyundai Hope On Wheels
2024-08-28Grant· $0.4M
Leadership Team
Patrick Frias
Founder, CEO & President
Recent News
Orange County Business Journal
2025-11-18
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