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Rady Children's Hospital-San Diego · 1 day 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 exp

Rady Children's Hospital-San Diego is seeking a Payment Application Specialist to manage cash receipts and accounts receivable for their Patient Financial Services. The role involves auditing, reconciling payments, and resolving discrepancies while also providing training and process improvement insights to 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

Is 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