Senior Executive

1 day ago

Noida, India Access Healthcare Services Full time

Job Description Receive and review payment documents, including explanation of benefits (EOBs), remittance advices, and electronic payment files Match payments to corresponding patient accounts and verify the accuracy of payment details Enter payment information into the healthcare organization's billing and accounting systems Ensure that payments are posted accurately, including the allocation of payments to the correct services, procedures, and accounts Reconcile payments and adjustments to the expected amounts based on contractual agreements, fee schedules, and insurance contracts Identify and resolve any discrepancies, such as underpayments, overpayments, or denials Identify and address denied or rejected claims by investigating the reason for denial, correcting errors, and resubmitting claims as necessary Work closely with the billing and coding teams to ensure proper claim adjudication Validate payments against expected reimbursement rates, contracted fee schedules, and established billing guidelines Identify any discrepancies and escalate issues to the appropriate personnel for resolution Generate reports on payment posting activities, including payment trends, outstanding balances, and accounts receivable status Provide regular updates to the management team to facilitate financial analysis and decision-making Adhere to healthcare industry regulations, such as HIPAA, and ensure that payment posting processes comply with established policies and procedures Protect patient confidentiality and maintain the security of sensitive financial information. Job Requirements To be considered for this position, applicants need to meet the following qualification criteria: Prior experience in payment posting or healthcare revenue cycle management Good understanding of medical billing, coding, and reimbursement processes Knowledge of medical terminology, CPT, HCPCS, and ICD coding systems Familiarity with insurance payer guidelines, including Medicare and Medicaid Proficient in using healthcare billing systems and electronic medical records (EMR) software Strong attention to detail and accuracy Excellent analytical and problem-solving skills Effective communication and interpersonal skills Ability to work independently and collaboratively in a team environment. Familiarity with HIPAA regulations and compliance requirements

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