drjobs Payment Associate-9

Payment Associate-9

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1 Vacancy
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Job Location drjobs

Mumbai - India

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

Primary 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

Employment Type

Full-Time

Company Industry

About Company

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