Payment Associate

Business Unit Resolv was formed in 2022 bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise including Ultimate Billing First Pacific Corporation Innovative Healthcare Systems and Innovative Medical Management Our DNA is rooted in revenue cycle solutions As we continue to expand we remain dedicated to partnering with RCM companies that offer diverse solutions and address today s most pressing healthcare reimbursement and revenue cycle operations complexities Together we improve financial performance and patient experience helping to build sustainable healthcare businesses Job Summary We re looking for a detail-oriented and efficient Payment Posting Associate to join our team In this critical role you ll be responsible for accurately posting payments adjustments and denials from various payers including insurance companies government agencies and patients You ll play a vital part in maintaining the financial integrity of our organization by reconciling deposits identifying discrepancies and collaborating closely with the billing team to resolve any payment-related issues Work Mode Work from Office Shift Timings 8am to 5pm Day Shift Location Mumbai What We Are Looking For 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 Mandatory Qualifications Skills 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 What Would Make You Stand Out Preferred Good-to-Have Skills 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 Skills Behavioural 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