Senior Executive EXL/SE/1019106

4 weeks ago


Chennai, India exl Full time

Job Description

Overview:

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

Qualifications:

Graduation in any stream

Experience:

BPO Experience – 2-5 years 

US Healthcare Payment posting experience preferred.

Communication Skill: 

Strong written (documentation) and oral communication skills

Working Hours:

40 hours per week as Full-time employee

Shift time: Day/Mid Shift

Weekends Off

Telecommuter/Internet requirements, if applicable:

High Speed internet connection at home, must be broadband

Must understand and adhere with telecommuter policy

Skills and abilities:

• 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”



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