Rcms Posting Associate Iii

2 days ago


Vadodara Gujarat, India Qualifacts Systems, Inc. Full time

Job Description:
1. Accurate Payment Posting: - Accurately post all insurance and patient payments by line item using medical claim billing software. 2. Zero Errors in Claims Submission: - Ensure all claims are submitted with zero errors to minimize rejections and optimize revenue cycle efficiency. 3. Claims Completeness and Accuracy Verification: - Verify the completeness and accuracy of all claims prior to submission to insurance companies. 4. Meeting Payment Posting Deadlines: - Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable. 5. Interpretation of Explanation of Benefits (EOBs): - Read and interpret insurance EOBs to reconcile payments, denials, and adjustments for accurate posting. 6. Attendance at Staff Meetings and Educational Sessions: - Regularly attend monthly staff meetings and participate in continuing educational sessions to stay informed about industry updates and best practices. 7. Additional Duties as Requested: - Perform additional duties as requested by the supervisory or management team to support departmental objectives. 8. Data Entry for Payment Posting: - Enter necessary information for insurance claims, including patient demographics, insurance ID, diagnosis and treatment codes, and provider information, ensuring completeness and accuracy. 9. HIPAA Compliance: - Follow HIPAA guidelines and maintain patient confidentiality when handling sensitive information during payment posting processes. 10. Patient Benefits Eligibility Verification: - Verify patient benefits eligibility and coverage as needed to ensure accurate payment posting. 11. Data Security and Integrity: - Maintain the security and integrity of practice data being worked on to protect sensitive information and comply with regulatory requirements. 12. Revenue Cycle Performance Analysis: - Obtain a clear view of revenue cycle performance through accurate payment posting and data analysis. 13. Policies and Procedures Development: - Develop exhaustive policies and procedures for write-offs and adjustments to ensure consistency and compliance in financial transactions. Qualifications: - High school diploma or equivalent; associate or bachelor's degree in healthcare administration, Commerce/Arts or related field preferred. - Minimum of 2-4 years of experience in medical billing or revenue cycle management, with a focus on payment posting. - Strong attention to detail and accuracy in data entry and payment reconciliation. - Knowledge of medical billing software and electronic health record (EHR) systems. - Familiarity with insurance EOBs and payment reconciliation processes. - Understanding of HIPAA regulations and patient privacy requirements. - Excellent communication and interpersonal skills. - Ability to work independently and collaboratively in a fast-paced environment. - Commitment to meeting deadlines and achieving departmental goals

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.



  • Ahmedabad, Gujarat, India Intelligent Medical Billing Solutions Full time

    **Job Title**: Process Associate - Payment Posting **Location**: Ahmedabad/ Bhavnagar **Department**: RCM - Payment Posting **Shift Timing**: Evening Shift (Full-Time) **Key Responsibilities**: - Accurately post insurance and patient payments to the billing system - Reconcile daily deposits and resolve discrepancies - Work closely with AR and denial teams...

  • Payment Posting

    3 days ago


    Ahmedabad, Gujarat, India Intelligent Medical Billing Solutions Full time

    WE ARE HIRING!!! We have openings in RCM (Revenue Cycle Management) Dept. Immediate joiners are most welcome and with atleast one or two years of relevant experience. 1) Payment Posting Shift Type: afternoon Shift - Good Communication skills required - Basic knowledge of US Healthcare. - Basic Computer Proficiency. **Responsibilities**: Accurately post...

  • Rcms Associate Ii

    1 week ago


    Vadodara, Gujarat, India Qualifacts Systems, Inc. Full time

    Job Description: Job Description : RCM Rejection Associate (Intermediate Level)Min 1-2 years of work experience in the same domain- Ready to work in EST time Zone Experience Required: Minimum 1-2 years of work experience in the same domain (RCM Rejection Management). Work Schedule: Must be available to work in the EST time zone. Key...

  • Rcm Associate Ii-2

    4 days ago


    Vadodara, Gujarat, India Qualifacts Systems, Inc. Full time

    Job Description: Job Description: RCM Rejection Associate (Intermediate Level) Experience Required: Minimum 1-2 years of work experience in the same domain (RCM Rejection/AR/Denial Management). Work Schedule: Must be available to work in the EST time zone. Key Responsibilities: - Min 1-2 years of work experience in the same domain- Handle more complex...

  • Rcms Agent

    2 days ago


    Vadodara, Gujarat, India Qualifacts Systems, Inc. Full time

    Job Description: RCMS Configuration Associate Responsibilities for the RCMS Configuration Associate - Responsible for setup, enrollment, and maintenance of EDI clearinghouse integrations for multiple software EHR and RCMS services customers - Work with Config team and Account Manager to manage initial access, enrollment, mapping and transition of EDI -...


  • Vadodara, Gujarat, India Aarogram Full time

    Are you a talented professional with excellent communication skills? We are a fast-growing healthcare technology startup in the RCM space looking to hire a Healthcare Process Associate (RCM) to join our team in Vadodara, Gujarat. We're building our software product that can automate a lot of RCM tasks. We are looking for someone who will provide insurance...

  • Rcm Associate Ii

    2 weeks ago


    Vadodara, Gujarat, India Qualifacts Systems, Inc. Full time

    Job Description: Experience Required: Minimum 1-2 years of work experience in the same domain (RCM Rejection/AR/Denial Management). Work Schedule: Must be available to work in the EST time zone. Key Responsibilities: - Min 1-2 years of work experience in the same domain- Handle more complex rejection cases that require in-depth analysis or investigation.-...


  • Vadodara, Gujarat, India Qualifacts Full time ₹ 3,00,000 - ₹ 4,50,000 per year

    Job Description:Key Responsibilities:1. Accurate Payment Posting:- Accurately post all insurance and patient payments by line item using medical claim billing software.2. Meeting Payment Posting Deadlines:- Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable.3. Interpretation of Explanation of Benefits (EOBs):- Read and...


  • Vadodara, India Healthcare Informatics Full time

    Payment Posting with EOB/ERA & ECW expertise. Must have 3+ yrs in US RCM WITH Manual postingDeep RCM knowledge & accuracy in payment posting required. Note: Require only ECW software experience is must.

  • RCM Specialist

    4 weeks ago


    Vadodara, India Healthcare Informatics Full time

    We are seeking an experienced RCM Specialist with expertise in EBO Reporting within eCW. Ideal candidates will have a strong understanding of claims management, payment posting, and revenue cycle optimization in the US healthcare setting.