Senior Associate

1 day ago

Hyderabad, Telangana, India Newport Medical Solutions Full time ₹ 15,00,000 - ₹ 28,00,000 per year

Job Title: Associate Payment Posting

Years of Experience: 2-3 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

Job Description

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 & behaviour is expected
  • Receive feedback from QA on errors and follow updated protocol.

Additional Comments

Preferably having experience with NG/eCW practice manager

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