Consumer Payment Processing Clerk jobs in Inglewood, CA

Under the direct supervision of the department Supervisor, this position is responsible for using computerized internal system applications to post payments, process, and review adjustments from insurance carriers. Within departmental guidelines, reviews explanations of benefits, compares payments with charge information, prepares and processes adjustments based on review of EOBs for non-standard Fee Schedule and for non-payment or underpayments. Maintains reporting of trends for billing errors, downcoding and other carrier specific practices.

Essential Functions:

- Interacts daily with various departments, vendors and payers to determine appropriate disposition of payments received.
- Reconciles and posts payments to accounts receivable systems.
- Processes adjustments on a line item basis.
- Researches and determine the appropriate application of undistributed payments.
- Processes dishonored check activity.
- Transfers liability of balances.
- Reviews EOB's for non-standard Fee Schedule reductions and for non-payment or under payment trends based upon carrier practices that may affect reimbursement.
- Maintains EOB files as needed.
- Processes assigned KP HealthConnect work queues.
- Provides customer service liaison between payers, vendors and Kaiser.
- Performs other related duties as assigned including but not limited to special projects.
- Note: Internal PFS candidates may have job advancement opportunities via the PFS Career Ladder, and should consult with their supervisor and/or manager.