EXL Health | Payment Posting | chennai

7 days ago

chennai, India EXL Health Full time

Job Description:



  • Ensure Daily Productivity targets are met at the required quality level on the assigned inventory
  • Perform accurate payment posting.
  • Process all ERA & Manual EOB’s and reconcile daily/monthly reports for review.
  • Process payments in Practice Management System (PMS) as per instructions provided by the client.
  • Review and update the patient insurance information in the Practice Management System (PMS)
  • Good understanding of downloading the files from the FTP / document management system.
  • Strong in reviewing EOB'S and trained in posting both Manual and ERA (835 Remits)
  • Should have knowledge to identify denial codes (RARC & CARC) with denial reason & Correspondence.
  • Should have knowledge in patients’ payment posting, Offset and Refund, “Small Balance Write Off.”
  • Should have knowledge in Recoupment and Over Payment/Under Payments, Sequestration and Interest payment/Penalty payments.
  • Should have knowledge in Cross Over (Piggy Bag), Capitation Agreement Payments
  • Knowledge about Patient’s Responsibility (Copay, Coinsurance & Deductible)
  • Knowledge about the Participating and Non-Participating Provider.
  • Good understanding on HSA and HRA payments, “Worker’s Comp” and “No Fault”
  • User to be proactive in escalating to his supervisor on any new scenarios/ challenges identified in the process.
  • Tracking and drafting clarifications clean and clear
  • Have hands on experience with basic excels, strong analytical skills.
  • Flexible as per project and client requirements and good team player
  • Readiness for extending shift during month end processing.
  • Resources should be from Chennai only (physical location should be Chennai).
  • Willing to work from the office as and when required.
  • Initial 1 month or 2 work from Chennai office mandatory.
  • Require resources for Band A1 and A2.
  • Experience criteria- 3-5 years, need productive resource for the next 3 years.
  • Hands on experience in NextGen PMS, should be aware of end of end payment posting, managing, and tallying from deposit log.
  • Should have hand-on understanding of posting $0 remits and denials in the NextGen PMS.
  • Should have hands-on experience working correspondence and postings.
  • Understands all the denials scenarios and interpretation of denial codes in the correspondence/$0 remits.

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