Payment Posters( medical Billing)-US Healthcare

4 weeks ago

Bengaluru, India Total RCM Solutions Full time

Hello all,


We are looking out for dedicated payment posters in medical billing in US healthcare, specifically who are experienced in Next Gen software.


The Medical Payment Posting & Reconciliation Specialist will manage accounts receivable billing and collection of payments for all designated payers and designated locations in order to meet and maintain goals. He/She will monitor A/R aging, accessing the accounts for further attention by involving the A/R; collect balances to ensure statements are processed and paid promptly. He/she will also manage and reconcile all payments; make sure it is posted into the patients account with the correct amount and adjustment.


Post all personal, insurance and liability payments from Remittance and EOBs to

appropriate accounts with minimum errors;

Apply manual payments and auto payments to accounts for payor types of Medicare,

Medicaid and Commercial Insurances;

Analyze EOB information, including co-pays, deductible, co-insurance, contractual

adjustments, denials and more to very accuracy of patient balances;

Scan all EOBs into system and creates hardcopy file for original EOB's by day;

Add appropriate ANSI denial codes and comments to assure all necessary appeals and post

payment follow up can take place;

Investigate the source of unidentified payment to ensure they are applied to appropriate

accounts. If necessary will contact the sender to clarify where the payment should be posted;

Reconcile shortage on both paper and electronic EOBs to determine proper allowance and

correct write off;

Assist in updating the Direct Deposit Daily;

Assist in performing comparison of downloaded files to the Direct Deposit and correct any

discrepancies;

Assist in setting up Electronic Remittance Advices (ERA) for Commercial and Medicare

payors;

Assist in running and balancing credit cards daily;

Send all batch reconciliation information to the Finance department;

Assist in performing check deposits and assembling logs daily;

Contact patients, insurance or third party administrators when clarification of information is

needed to successfully post payment;

Handle telephone questions and concerns from customers; ensures complaints and inquiries

are recorded and reported to management;

Report all Medicare credits quarterly to Medicare on appropriate form and supplies all

supporting documentation;

Work on recoupment accounts to settle;

Follow up with outstanding A/R all payers and/or including self-pay and/or including

resolution of denials;

Read, analyze, and interpret common scientific or technical information, financial reports

and legal documents;

Research inquiries in a professional and courteous manner and work with Accounts

Receivable team members, to identify and resolve escalated customer concerns in a timely

manner, potentially without direct Supervisor oversight. Partner with Team Lead and

Supervisor to develop solutions to repeat customer concerns;

Act as point of contact for the team when Supervisor/Manager/Team Lead are unavailable



Mode of work would be: WFH and WFO


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