Process Expert

2 weeks ago

Noida, India Suci Global Full time

We are hiring Process Expert for one of our client based out of Noida. Below is the Job Description.

Responsibilities:

  • Payment Entry:Accurately post payments and adjustments to patient accounts in the billing system, including electronic remittances and manual checks.
  • Reconciliation:Reconcile payments received with the corresponding accounts receivable records to ensure accuracy and identify discrepancies.
  • Claims Management:Review and resolve any payment discrepancies, denials, or underpayments by working closely with the billing and collections teams.
  • Reporting:Generate and maintain reports on payment postings, outstanding balances, and any trends affecting cash flow.
  • Customer Communication:Address inquiries from patients and insurance companies regarding payment postings and account status in a professional manner.
  • Compliance:Ensure adherence to healthcare regulations, billing practices, and company policies related to payment posting.
  • Process Improvement:Identify opportunities for streamlining the payment posting process and contribute to best practices within the team.

Key Skills:

  • Previous experience 1+ Year in payment posting, medical billing, or revenue cycle management in a healthcare setting is required.
  • Strong knowledge of medical billing processes and payment posting practices.
  • Proficiency in Microsoft Office Suite and healthcare billing software.
  • Excellent attention to detail and strong organizational skills.

Responsibilities:

  • Charge Entry: Accurately input and post charges into the billing system for a variety of healthcare services provided to patients.
  • Data Verification: Review and verify the accuracy of charge data from clinical documentation and coding to ensure compliance with payer requirements.
  • Reconciliation: Reconcile posted charges with corresponding insurance claims and payments to identify discrepancies and resolve issues promptly.
  • Reporting: Generate and maintain reports on charge postings, identifying trends and issues that may impact revenue cycle performance.
  • Collaboration: Work closely with the billing and coding teams to ensure accurate and efficient processing of charges and resolve any issues that arise.
  • Compliance: Ensure compliance with healthcare regulations and company policies regarding charge posting and data entry.
  • Training: Assist in training new team members on charge posting procedures and best practices.

Key Skills:

  • Strong knowledge of medical terminology, coding (CPT, ICD-10), and billing practices.
  • Proficient in Microsoft Office Suite and healthcare billing software.
  • Excellent attention to detail and strong organizational skills.
  • Self-motivated, analytical, and able to work both independently and as part of a team.

Intrested candidate can share their cv to

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