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APR Consulting · 16 hours ago

Payment Application Specialist

San Diego, CA

Contract

Onsite

Entry, Mid Level

$30/hr - $30/hr

2+ years exp

APR Consulting, Inc. is engaged to identify a Payment Application Specialist. The role involves researching, auditing, reconciling, and applying cash receipts to accounts receivable, ensuring accurate processing of payments and denials while identifying and resolving discrepancies.

ConsultingCRMHuman ResourcesInformation TechnologySmall and Medium BusinessesStaffing Agency

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

Brightree system experiencePayment posting experienceResearchReconciliationEOB interpretationProcess improvementTeam training

Required

2 Years of Experience (Minimum)

Highschool diploma - must provide proof of copy on diploma and/or transcripts

Ability to research, audit, reconcile and apply all cash receipts to AR accounts

Skilled at interpreting explanations of benefits (EOBs) and reconciling and applying payments, recoupments, and provider level adjustments (PLBs)

Ability to identify external payments and non-patient payments, and take proper steps to transfer to the appropriate entity/general ledger account using designated adjustment codes

Ability to process payments and denials with the correct denial/remittance codes and apply denials/payments to the appropriate account/liability bucket

Ability to handle processing of Non-Sufficient Funds (NSF) payments

Conduct in-depth research to resolve any balancing issues or to reconcile unidentified payments posted to clearing accounts

Ability to identify issues with ERAs/contractual calculations/payer compliance and escalate appropriately

Use system generated reports, perform in-depth research and reconciliation of variances in the internal balancing tool

Recognize and share areas for process improvements

Considered a subject matter expert (SME) in multiple areas of payment application and train team members/document processes/participate in workflow testing and other projects in order to improve the overall knowledge and function of their team

Perform other duties as assigned

Preferred

5 Years of Experience (Preferred)

Experience in Brightree system is preferable or it may be any relatable Homecare payment posting experience, and mostly with Commercial payors

Company

APR Consulting

APR Consulting is a nationally recognized, award-winning provider of talent acquisition and workforce solutions, helping organizations simplify, scale, and optimize their operations.

Founded in 1980

Diamond Bar, California, USA

201-500 employees