Associate - Payment Posting

2 days ago

Hyderabad Telangana, India Newport Medical Solutions Full time

**Job Title: Associate Payment Posting**

**Years of Experience: 1-2 years**

**Location: Hyderabad, Telangana**

**Mode of interview**: In-person.

**Mode of operation**: Work from office

**Shift Timings**:9:00 a.m.6:00 p.m

**Functional Expertise**:

- Should be able to post ERAs and Manual posting, patient-cash, check and CC payments.
- Should have strong understanding of medical billing terms, such as co-pays, coinsurances, deductibles allowable amount, contractual adjustments, out-of network and in-network processing, retractions/recoupments, capitation payments, Collection agency payments, MVA and WC payments, Correspondence and Zero claims.
- Should be able to access websites to retrieve, process and upload the EOBs.
- Should be able to identify line item denials for non-covered services, inclusive services, credentialing, medical necessity, non-par, no-auth denials, COB Denials and associated denial reason codes.
- Medicare claims processing-sequestration, interest payment, reporting codes, Modifiers
- Should be able to understand Payer specific guidelines, process secondary and Tertiary claims and patient statements. Process Insurance and patient refunds.
- Should be capable of interpreting and processing the EOBs, research, correct and re-file denied claims.
- Reconciliation and balancing the payment batches.

**Operational Duties**:

- Comply to daily productivity and Accuracy standards.
- Submit daily production reports to team lead.
- Stay in constant communication with team lead /operations manager
- Professional & behavior is expected
- Receive feedback from QA on errors and follow updated protocol.

**Additional Comments

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