Payment Associate-2
Payment Associate-2
Posted on :
10-07-2025
Employer Active
1 Vacancy
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Job Description
Primary Functions:
Payment Processing & Posting
- Accurately post payments received from insurance companies government programs (such as Medicare/Medicaid) and patients into the Revenue Cycle Management (RCM) system.
- Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs).
- Apply necessary adjustments refunds and write-offs in accordance with payer guidelines.
- Balance and reconcile daily deposits with posted payments to ensure accuracy.
Denial Management & Reconciliation
- Identify and accurately post insurance denials ensuring timely follow-up for resolution.
- Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions.
- Track underpayments and escalate discrepancies to the RCM Manager for further action.
Reporting & Documentation
- Maintain precise payment records and reconciliation reports.
- Generate daily weekly and monthly reports on payment trends denials and discrepancies.
- Ensure strict compliance with company policies and industry regulations including HIPAA and Medicare guidelines.
Communication & Collaboration
- Coordinate effectively with the billing team accounts receivable and insurance companies to resolve payment discrepancies.
- Respond promptly to inquiries from internal teams regarding posted payments.
Additional Job Description:
- Any bachelors degree.
- Good Communication Skills (Written and Verbal).
- 1-3 years of proven experience in payment posting within a healthcare environment is essential
- Strong understanding of healthcare revenue cycle management (RCM) processes.
- Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge.
- Experience with healthcare-specific RCM software (e.g. Epic Cerner NextGen Athenahealth Kareo or similar).
Soft/Behavioral Skills:
- Problem-Solver: Identifies and resolves healthcare billing discrepancies.
- Organized: Manages high volumes of medical remittances efficiently.
- Clear Communicator: Effectively discusses payment issues with healthcare teams.
- Analytical: Understands healthcare financial data and denial patterns.
Shift Timing: Day Shift (8am to 5pm IST) Work from Office- Mumbai
Required Experience:
IC
Employment Type
Full-Time
Key Skills
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