Payment Associate

Hiring Manager Lenson Fernandes Business Unit Resolv Job Title Payment Associate Header Here at Harris we have 5 different business verticals Public Sector Healthcare Utilities Insurance and Private sector with over 12 000 employees and more than 100 000 customers located in 200 countries around the globe We need your help to keep growing and we hope you can become an integral part of the Harris family BU Resolv has revenue cycle solution brands in our DNA We formed in 2022 bringing together a suite of industry-leading healthcare revenue cycle leaders with more than 30 years of industry expertise including Ultimate Billing First Pacific Corporation Innovative Healthcare Systems and Innovative Medical Management As we continue to expand we remain dedicated to partnering with RCM companies that offer a variety of solutions and address today s most pressing healthcare reimbursement and revenue cycle operations complexities Together we will improve financial performance and patient experience and help build sustainable healthcare businesses Job Summary The Payment Posting Associate is responsible for accurately and efficiently posting payments adjustments and denials from various payers The role is critical in ensuring the financial integrity of the organization by reconciling deposits identifying discrepancies and collaborating with the billing team to resolve payment-related Issues Primary Functions 1 Payment Processing Posting Post payments from insurance companies government programs Medicare Medicaid and patients into the RCM system Process Electronic Remittance Advices ERA and manual Explanation of Benefits EOB Apply necessary adjustments refunds and write-offs per payer guidelines o Balance and reconcile daily deposits with posted payments 2 Denial Management Reconciliation Identify and post insurance denials while ensuring timely follow-up for resolution o Work with the billing and accounts receivable teams to correct claim errors and resubmit claims Track underpayments and escalate discrepancies to the RCM Manager 3 Reporting Documentation Maintain accurate payment records and reconciliation reports Generate daily weekly and monthly reports on payment trends denials and discrepancies Ensure compliance with company policies and industry regulations HIPAA Medicare guidelines 4 Communication Collaboration Coordinate with the billing team accounts receivable and insurance companies to resolve payment discrepancies Respond to inquiries from internal teams regarding posted payments Escalate unresolved payment issues to the appropriate leadership Job Qualifications 1 Bachelor s degree in accounting Finance Business Administration or a related field preferred 2 1-3 years of experience in medical billing payment posting or revenue cycle management 3 Experience working with RCM software e g EPIC eClinicalWorks NextGen Athenahealth Kareo or Cerner 4 Strong understanding of insurance reimbursement medical billing and denial management 5 Proficiency in MS Excel accounting principles and payment reconciliation 6 Knowledge of HIPAA regulations and compliance standards Additional Qualifications Good to Have Any diploma or Higher Degree Soft Behavior Skills Good Communication and Collaboration Strong ARO Ability to work both independently and as part of a team Strong analytical and creative problem-solving skills The above statements are intended to describe the general nature and level of work being performed by people assigned to this job It is not designed to be utilized as a comprehensive list of all duties responsibilities and qualifications required of employees assigned to this job Working Environment This job operates in a professional office environment or remote home office location This role routinely uses standard office equipment such as computers laptops and other stuffs This role may occasionally encounter Protected Health Information Personal Identifiable Information or Privacy Records and it is essential that all employees adhere to confidentiality requirements as outlined in the Employee Handbook and Harris Security and Privacy policies as well as apply the concepts learned in the annual Security Awareness training Expected Hours of Work 8am to 5pm IST Work Mode Work from Office