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You will be updated with latest job alerts via emailPrimary Functions 1. Payment Processing & Posting
Post payments from insurance companies government programs (Medicare/Medicaid) and patients into the RCM system.
Process Electronic Remittance Advices (ERA) and manual Explanation of Benefits (EOB).
Apply necessary adjustments refunds and write-offs per payer guidelines. Balance and reconcile daily deposits with posted payments.
2. Denial Management & Reconciliation
Identify and post insurance denials while ensuring timely follow-up for resolution. Work with the billing and accounts receivable teams to correct claim errors and resubmit claims.
Track underpayments and escalate discrepancies to the RCM Manager.
3. Reporting & Documentation
Maintain accurate payment records and reconciliation reports.
Generate daily weekly and monthly reports on payment trends denials and discrepancies.
Ensure compliance with company policies and industry regulations (HIPAA Medicare guidelines).
4. Communication & Collaboration
Coordinate with the billing team accounts receivable and insurance companies to resolve payment discrepancies.
Respond to inquiries from internal teams regarding posted payments.
Escalate unresolved payment issues to the appropriate leadership.
Job Qualifications: Minimum Qualifications:
1. Bachelors degree in Accounting Finance Business Administration or a related field (preferred).
2. 1-3 years of experience in medical billing payment posting or revenue cycle management.
3. Experience working with RCM software (e.g. EPIC eClinicalWorks NextGen AthenahealthKareo or Cerner
4. Strong understanding of insurance reimbursement medical billing and denial management.
5. Proficiency in MS Excel accounting principles and payment reconciliation.
6. Knowledge of HIPAA regulations and compliance standards.
Shift time 8am to 5pm
Work mode- Office
Required Experience:
IC
Full-Time