Payment Associate-2
Primary Functions:
Payment Processing & Posting
* Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system.
* Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs).
* Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines.
* Balance and reconcile daily deposits with posted payments to ensure accuracy.
Denial Management & Reconciliation
* Identify and accurately post insurance denials, ensuring timely follow-up for resolution.
* Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions.
* Track underpayments and escalate discrepancies to the RCM Manager for further action.
Reporting & Documentation
* Maintain precise payment records and reconciliation reports.
* Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies.
* Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines.
Communication & Collaboration
* Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies.
* Respond promptly to inquiries from internal teams regarding posted payments.
Additional Job Description:
* Any bachelor’s degree.
* Good Communication Skills (Written and Verbal).
* 1-3 years of proven experience in payment posting within a healthcare environment is essential
* Strong understanding of healthcare revenue cycle management (RCM) processes.
* Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge.
* Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar).
Soft/Behavioral Skills:
* Problem-Solver: Identifies and resolves healthcare billing discrepancies.
* Organized: Manages high volumes of medical remittances efficiently.
* Clear Communicator: Effectively discusses payment issues with healthcare teams.
* Analytical: Understands healthcare financial data and denial patterns.
Shift Timing: Day Shift (8am to 5pm IST) Work from Office- Mumbai
- Rate: 20000
- Location: Mumbai, IN-MH
- Type: Permanent
- Industry: Sales
- Recruiter: Bizmatics India Private Limited
- Contact: Not Specified
- Email: to view click here
- Reference: R0028694
- Posted: 2025-07-07 08:00:58 -
- View all Jobs from Bizmatics India Private Limited
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