Payment Associate-1

4 days ago

Vikroli Mumbai Maharashtra, India Harris Computer Systems Full time

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).
- 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

Communication & Collaboration
- Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies.
- Respond promptly to inquiries from internal teams regarding posted payments.
- Escalate unresolved payment issues to the appropriate leadership as needed.

Additional Job Description:

- 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
- 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/Behavioral 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.

Shift Timing: Day Shift (8am to 5pm IST)/ Work Mode: Work from Office-Mumbai

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