Job Location: Noida, India
Job Description
Receive and review payment documents, including explanation of benefits (EOBs), remittance advices, and electronic payment files
Match payments to corresponding patient accounts and verify the accuracy of payment details
Enter payment information into the healthcare organization's billing and accounting systems
Ensure that payments are posted accurately, including the allocation of payments to the correct services, procedures, and accounts
Reconcile payments and adjustments to the expected amounts based on contractual agreements, fee schedules, and insurance contracts
Identify and resolve any discrepancies, such as underpayments, overpayments, or denials
Identify and address denied or rejected claims by investigating the reason for denial, correcting errors, and resubmitting claims as necessary
Work closely with the billing and coding teams to ensure proper claim adjudication
Validate payments against expected reimbursement rates, contracted fee schedules, and established billing guidelines
Identify any discrepancies and escalate issues to the appropriate personnel for resolution
Generate reports on payment posting activities, including payment trends, outstanding balances, and accounts receivable status
Provide regular updates to the management team to facilitate financial analysis and decision-making
Adhere to healthcare industry regulations, such as HIPAA, and ensure that payment posting processes comply with established policies and procedures
Protect patient confidentiality and maintain the security of sensitive financial information.
Job Requirements
To be considered for this position, applicants need to meet the following qualification criteria:
Prior experience in payment posting or healthcare revenue cycle management
Good understanding of medical billing, coding, and reimbursement processes
Knowledge of medical terminology, CPT, HCPCS, and ICD coding systems
Familiarity with insurance payer guidelines, including Medicare and Medicaid
Proficient in using healthcare billing systems and electronic medical records (EMR) software
Strong attention to detail and accuracy
Excellent analytical and problem-solving skills
Effective communication and interpersonal skills
Ability to work independently and collaboratively in a team environment.
Familiarity with HIPAA regulations and compliance requirements
Grow your career with access healthcare!
More Ways to Apply
Email us at: careers@accesshealthcare.com
Call us at: +91-99111-44584
