Transaction Specialist

Scripps Health•San Diego, CA

2d•Hybrid

About The Position

This is a full-time, benefitted position located in San Diego. The position will be partial remote. After training is completed, the schedule will be one day a week in the office. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker’s Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. The Transaction Specialist maintains systematic set of enterprise accounts receivable transaction records through posting payments, adjustments, and transactions edits to individual patient accounts and all non-patient related payments. Receives Transaction detail from patients, insurance carriers, government agencies, and legal offices and interprets and accurately post transactions into the patient accounting system. May scan checks for direct deposit, and process credit card payments. Balances daily transactions. Balances and reconciles receipts, bank statements, and makes deposits to appropriate bank accounts. Prepares and distributes payment and adjustment reports as required. Performs all adjustments and denials on insurance vouchers and self-pay accounts as required per policy. Ensures appropriate payment/adjustment detail and audits for initial appropriate payment/adjustment per contract rates, appealing underpayments if required. Documents account denials and payment variances. Responsible for billing secondary payers and patient balances. Answers patient inquiries regarding account transactions. #LI-JS1

Requirements

Must be proficient with computer applications, excellent mathematical skills and ability to handle monies.
Excellent communication and customer service skills.
Strong organizational and analytical skills; innovative with ability to identify and solve problems.
Able to adapt, prioritize and meet deadlines.
Knowledge of accounting principles.

Nice To Haves

2 year experience with general ledger and/or accounts receivable.

Responsibilities

maintains systematic set of enterprise accounts receivable transaction records through posting payments, adjustments, and transactions edits to individual patient accounts and all non-patient related payments
Receives Transaction detail from patients, insurance carriers, government agencies, and legal offices and interprets and accurately post transactions into the patient accounting system
May scan checks for direct deposit, and process credit card payments
Balances daily transactions
Balances and reconciles receipts, bank statements, and makes deposits to appropriate bank accounts
Prepares and distributes payment and adjustment reports as required
Performs all adjustments and denials on insurance vouchers and self-pay accounts as required per policy
Ensures appropriate payment/adjustment detail and audits for initial appropriate payment/adjustment per contract rates, appealing underpayments if required
Documents account denials and payment variances
Responsible for billing secondary payers and patient balances
Answers patient inquiries regarding account transactions