Payment Posting in Medical Billing

4 days ago

Bellandur Bengaluru Karnataka, India Truce titanium Taurus Full time

JOB SUMMARY: The Medical Payment Posting & Reconciliation Specialist will manage accounts receivable billing and collection of payments for all designated payers and designated locations in order to meet and maintain goals. He/She will monitor A/R aging, accessing the accounts for further attention by involving the A/R; collect balances to ensure statements are processed and paid promptly. He/she will also manage and reconcile all payments; make sure it is posted into the patient’s account with the correct amount and adjustment.

MAJOR DUTIES & RESPONSIBILITIES: - Post all personal, insurance and liability payments s from Remittance and EOB’s to appropriate accounts with minimum errors;
- Analyze EOB information, including co-pays, deductible, co-insurance, contractual adjustments, denials and more to very accuracy of patient balances;
- Scan all EOB’s into system and creates hardcopy file for original EOB's by day;
- Add appropriate ANSI denial codes and comments to assure all necessary appeals and post payment follow up can take place;
- Investigate the source of unidentified payment to ensure they are applied to appropriate accounts. If necessary will contact the sender to clarify where the payment should be posted;
- Reconcile shortage on both paper and electronic EOBs to determine proper allowance and correct write off;
- Assist in updating the Direct Deposit Daily;
Assist in performing comparison of downloaded files to the Direct Deposit and correct any discrepancies;
- Assist in setting up Electronic Remittance Advices (ERA) for Commercial and Medicare payors;
- Assist in running and balancing credit cards daily;
- Send all batch reconciliation information to the Finance department;
- Assist in performing check deposits and assembling logs daily;
- Contact patients, insurance or third party administrators when clarification of information is needed to successfully post payment;
- Handle telephone questions and concerns from customers; ensures complaints and inquiries are recorded and reported to management;
- Report all Medicare credits quarterly to Medicare on appropriate form and supplies all supporting documentation;
- Work on recoupment accounts to settle;
- Follow up with outstanding A/R all payers and/or including self-pay and/or including resolution of denials;
- Read, analyze, and interpret common scientific or technical information, financial reports and legal documents;
- Research inquiries in a professional and courteous manner and work with Accounts Receivable team members, to identify and resolve escalated customer concerns in a timely manner, potentially without direct Supervisor oversight. Partner with Team Lead and Supervisor to develop solutions to repeat customer concerns;
- Act as point of contact for the team when Supervisor/Manager/Team Lead are unavailable;
- Perform other duties as assigned to support HOPE Clinic’s Mission, Vision and Values.

Pay: ₹25,000.00 - ₹40,000.00 per month

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Monday to Friday
- Night shift

Supplemental pay types:

- Performance bonus
- Yearly bonus

**Experience**:

- total work: 2 years (preferred)

Work Location: In person

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