A large healthcare organization in San Diego seeks a Payment Application Specialist II. The Payment Application Specialist II researches, audits, reconciles and applies all cash receipts to Hospital AR accounts. Is 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 transfers them to the appropriate area/general ledger account. Processes denials with the correct denial/remittance codes and applies denials/payments to the appropriate liability bucket. 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 and 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.
On Call Staffing Solutions, Inc. is an Equal Opportunity Employer – Minority/Female/Disability/Veterans