Payment Posting Executive
- Posting Accuracy: Accurately post all insurance payments, patient payments, and electronic funds transfers (EFTs) received via Electronic Remittance Advice (ERA) and manual Explanation of Benefits (EOBs).
- Denial Management: Identify, analyze, and post denials with the correct denial codes (CARC/RARC) and initiate the hand-off to the AR follow-up team.
- Reconciliation: Reconcile posted batches daily to ensure the total amount posted matches the bank deposits or insurance remittance advice, promptly resolving any variances.
- Adjustment Entry: Process necessary contractual adjustments, write-offs, and refunds accurately according to client policy and payer contracts.
- Lockbox Processing: Handle and process physical checks and payment correspondence received through the client's lockbox service (if applicable).
- Quality & Compliance: Maintain a high standard of posting quality and adherence to HIPAA and client-specific financial policies.
- Documentation: Ensure all payment sources, posting details, and discrepancies are clearly and concisely documented in the billing software.
- Reporting Support: Assist in gathering payment data for daily and weekly cash flow reporting and analysis.
- Experience: 6 months to 2 years of experience in Payment Posting, Cash Applications, or U.S. Healthcare RCM (Freshers with strong accounting fundamentals may be considered).
- Education: Any graduate or diploma holder.
- Financial Acumen: Strong understanding of basic accounting principles and financial reconciliation processes.
- Technical Interpretation: Proficiency in reading and accurately interpreting EOBs, ERAs, and remittance advices.
- Coding Familiarity: Basic knowledge of denial codes (CARC/RARC) and how they relate to the posting function.
- Accuracy: Meticulous attention to detail and ability to maintain consistent quality under daily posting targets.
- Technical Proficiency: Strong computer skills and experience working with billing platforms (e.g., Kareo, AdvancedMD, NextGen, eClinicalWorks, etc.).
- Meticulous Attention to Detail and Accuracy
- Financial Accountability
- Time Management and Efficiency
- Process Compliance and Quality Focus
- Problem-Solving (Reconciliation)
- Shift Timings: Day & Night Shift
- Work Schedule: Sunday & Monday off for day shift, Saturday & Sunday off for night shift (schedule may vary slightly based on client requirements).