
Senior Associate
3 days ago
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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