Payment Associate-4

Hiring Manager: Lenson Fernandes

Business Unit: Resolv

Job Title: Payment Associate

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Here at Harris we have 5 different business verticals Public Sector Healthcare Utilities Insurance and Private sector with over 12000 employees and more than 100000 customers located in 200 countries around the globe. We need your help to keep growing and we hope you can become an integral part of the Harris family.

BU: Resolv has revenue cycle solution brands in our DNA. We formed in 2022 bringing together a suite of industry-leading healthcare revenue cycle leaders with more than 30 years of industry expertiseincluding Ultimate Billing First Pacific Corporation Innovative Healthcare Systems and Innovative Medical Management. As we continue to expand we remain dedicated to partnering with RCM companies that offer a variety of solutions and address todays most pressing healthcare reimbursement and revenue cycle operations complexities. Together we will improve financial performance and patient experience and help build sustainable healthcare businesses.

Job Summary:

The Payment Posting Associate is responsible for accurately and efficiently posting payments
adjustments and denials from various payers. The role is critical in ensuring the financial integrity of the organization by reconciling deposits identifying discrepancies and collaborating with the billing team to resolve payment-related Issues.

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:

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.

Additional Qualifications(Good to Have): Any diploma or Higher Degree.

Soft/ Behavior Skills:

• Good Communication and Collaboration.
• Strong ARO
• Ability to work both independently and as part of a team
• Strong analytical and creative problem-solving skills

The above statements are intended to describe the general nature and level of work being performed

by people assigned to this job. It is not designed to be utilized as a comprehensive list of all duties

responsibilities and qualifications required of employees assigned to this job.

Working Environment:
This job operates in a professional office environment or remote home office location. This role routinely uses standard office equipment such as computers laptops and other stuffs.

This role may occasionally encounter Protected Health Information Personal Identifiable Information or Privacy Records and it is essential that all employees adhere to confidentiality requirements as outlined in the Employee Handbook and Harris Security and Privacy policies as well as apply the concepts learned in the annual Security Awareness training.

Expected Hours of Work: 8am to 5pm IST.

Work Mode: Work from Office.