Payment Application Specialist

Position : Payment Application Specialist - Billings Specialist

Location : San Diego, CA 92111

Job Duration : 13 weeks

Shift : Day, 5x8-Hour (08 : 00 - 16 : 30)

Summary

The Payment Application Specialist is responsible for researching, auditing, reconciling, and applying cash receipts to Accounts Receivable (AR) accounts. This role requires strong analytical and reconciliation skills, a deep understanding of payment posting processes, and the ability to interpret Explanation of Benefits (EOBs). The specialist ensures accuracy in payment posting, identifies discrepancies, and escalates issues when necessary. The role also involves supporting process improvements, training team members, and serving as a subject matter expert (SME) in payment applications.

Key Responsibilities

• Research, audit, reconcile, and apply all cash receipts to AR accounts.
• Interpret EOBs to reconcile and apply payments, recoupments, and provider-level adjustments (PLBs).
• Process external payments and non-patient payments, transferring them to the appropriate entity / general ledger account.
• Post payments and denials using correct denial / remittance codes to the appropriate accounts / liability buckets.
• Manage processing of Non-Sufficient Funds (NSF) payments.
• Investigate and resolve balancing issues, including unidentified payments posted to clearing accounts.
• Identify ERA issues, payer compliance discrepancies, and contractual calculation variances, escalating as appropriate.
• Utilize system-generated reports and internal balancing tools for variance reconciliation.
• Suggest and implement process improvements to enhance efficiency.
• Act as a Subject Matter Expert (SME), providing training, documenting processes, and participating in workflow testing.
• Perform additional duties as assigned.

Required Qualifications

Minimum : 2 years of experience in payment posting, revenue cycle, or related healthcare financial operations.