Payment Posting

1 week ago

Hinjewadi Pune Maharashtra, India IntelligentDx Full time

**ESSENTIAL FUNCTIONS**:To perform this job successfully, an individual must be able to perform each essential function satisfactorily with or without accommodation. The requirements listed below are representative, but not all inclusive, of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.
- Identify discrepancies or trends and perform root cause analysis on unpaid, over paid, and underpaid claims.
- Understand payment posting process and requirements for all forms of payment including electronic remittance, lockbox, and patient payments.
- Accurately enter interest activity and insurance retractions or withhold payments.
- Accurately utilize and enter the appropriate payment codes, adjustment codes, denial reasons, and remark codes received from the explanation of benefits or other source documents.
- Consistently enter accurate transactional data as compared to the explanation of benefit payment details and ensure the entered batch totals balance to the remittance or check.
- Research incomplete explanation of benefit detail for withholds, credits or other pertinent data.
- Prepare daily spreadsheet and complete payment posting and reconciliation while documenting appropriate supporting details.
- Develop and maintain positive working relationships with clinical personnel, co-workers, and insurance representatives.
- Maintain an appropriate professional appearance and demeanor in accordance with company policies.
- Keep commitments and keep direct supervisor informed of work progress, timetables, and issues.
- Maintain strict compliance with State, Federal and other regulations (e.g., OSHA, WC, HIPAA, ADA, FEHA, DOL, HR policies and practices).
- Other duties as assigned by management.

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Day shift

**Education**:

- Bachelor's (required)

**Experience**:

- Payment Posting: 2 years (required)
- US Health care: 2 years (required)

Work Location: In person

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