Senior Executive EXL/SE/1012401

4 weeks ago

Chennai, India exl Full time

Job Description

Position Title, Responsibility Level

Associate/Sr. Associate

Function

Non Clinical

RCM – Payment posting

Reports to

Team Leader

Permanent/ Temporary

Permanent

Span of Control

N/A

Location

Chennai

Basic Function

Deliver Daily targets for payment posting transactions. (ERA & Manual EOB Posting)

Essential Functions

Ensure Daily Productivity targets are met at the required quality level on the assigned inventory Perform accurate payment posting Process all ERA & Manual EOB’s and reconcile daily/monthly reports for review Process payments in Practice Management System (PMS) as per instructions provided by the client. Review and update the patient insurance information in the Practice Management System (PMS) Good understanding of downloading the files from the FTP / document management system. Strong in reviewing EOB'S and trained in posting both Manual and ERA ( Remits) Should have knowledge to identify denial codes (RARC & CARC) with denial reason & Correspondence. Should have knowledge in Patients payment posting, Offset and Refund, “Small Balance Write Off” Should have knowledge in Recoupment and Over Payment/Under Payments, Sequestration and Interest payment/Penalty payments Should have knowledge in Cross Over (Piggy Bag), Capitation Agreement Payments Knowledge about Patient’s Responsibility (Copay, Coinsurance & Deductible) Knowledge about the Participating and Non-Participating Provider. Good understanding on HSA and HRA payments, “Worker’s Comp” and “No Fault”

Skills

Technical Skills

Good computer navigation skills Typing speed of 30 Words per Minute with 95% Accuracy  Well versed with basic functions of Microsoft Office (Word, Excel, PowerPoint, Outlook)

Process Specific Skills

Preferred knowledge of US Healthcare Daily report preparation  Participate in internal audits  Ability to produce high quality outcomes in a highly productive environment. Maintain ERA & Manual log

Soft skills (Desired)

Soft Skills (Minimum)

Education Requirements

Chennai:

● Education Level –Graduation in any stream

Work Experience Requirements

● BPO Experience – 2-3 years 

● US Healthcare Payment posting experience preferred. 

Acknowledgement

(acknowledge that the information contained in this document is factual and complete)

___________________________________ ___________________________________________ ____________________________

 Candidate Supervisor/Manager Date

 

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