Process Associate

7 days ago

Mohali, India INFINTI RCM Full time

EMP Claims was recently recognized as a Top 10 vendor for RCM Services in the US, and we take pride in the quality of our services. Our customers include large health systems and small medical practices.

We offer you a competitive compensation package along with the opportunity to learn on the job, develop knowledge of the process, and grow your career.

Prior authorization is a process through which healthcare providers or facilities obtain approval from insurance companies or other payers before performing specific medical treatments or procedures. This process is crucial for ensuring that healthcare services are covered and will be reimbursed by the payer.

**Job Title: Process Associate**

**Department: Payment Posting**

**Job Location: Mohali**
***

**Key Responsibilities**:

- Accurately post and reconcile payments received from various sources, including insurance companies, patients, and government payers.
- Verify the accuracy of payment amounts, adjustments, and denials.
- Enter payment data into the billing system and ensure all information is correctly recorded.
- Analyze remittance advice or Explanation of Benefits (EOBs) to identify discrepancies, underpayments, or overpayments.
- Investigate and resolve any payment discrepancies or issues promptly.
- Identify denied claims and understand the reasons for denials.
- Work closely with the denial management team to address and resolve claim denials, ensuring maximum reimbursement.
- Perform daily and monthly reconciliation of patient received against posted payments.
- Identify and report any discrepancies or irregularities in cash reconciliation.
- Communicate with insurance companies, patients, and other stakeholders to resolve payment-related inquiries or issues.
- Provide excellent customer service and maintain a professional demeanor at all times

**Qualifications**:

- Minimum Bachelor's degree
- Problem-solving and critical-thinking abilities.
- Knowledge of healthcare compliance and privacy regulations (e.g., HIPAA)
- Excellent attention to detail and data accuracy
- Ability to work independently and collaboratively in a team environment

**Benefits**:

- Health Insurance for individual and family coverage free of cost by the company
- 5 days working
- Realistic & attractive performance incentives
- Provident Fund
- Extreme employee engagement
- Fully paid Maternity/Paternity leaves
- 28 paid Leaves during calendar financial Year
- Employee specific career progression Plans
- ELT Training sessions
- Learning& Development (Technical, Soft skills, Communication, Leadership)
- Rewards and Recognition programs
- Festival celebrations & annual events

**Job Types**: Permanent, Full-time

**Benefits**:

- Health insurance
- Leave encashment
- Paid sick time
- Provident Fund

Schedule:

- Day shift
- Fixed shift
- Monday to Friday
- Morning shift

Supplemental pay types:

- Performance bonus

**Experience**:

- total work: 1 year (preferred)

**Job Types**: Full-time, Permanent

**Salary**: ₹15,000.00 - ₹30,000.00 per month

**Benefits**:

- Health insurance
- Provident Fund

Schedule:

- Day shift
- Monday to Friday

Supplemental pay types:

- Performance bonus
- Yearly bonus

**Experience**:

- total work: 1 year (preferred)

Ability to Commute:

- Mohali, Punjab (required)

Ability to Relocate:

- Mohali, Punjab: Relocate before starting work (required)

Work Location: In person

**Speak with the employer**

+91 9915187677

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