Medical Billing Specialist Payment Posting After patient transactions have been properly coded create billing batches Review information from the patient s file on system chart Verify insurance coverage Bill per procedure and appropriate contract Verify procedures and check modifiers Calculate correct fee and process billing transactions Demonstrates general knowledge of billing practices and maintains departmental standards relating to insurance claims processing charge entry and billing functions This role is also responsible for providing support to other departments within the SHA related to billing functions including communicating claim issues to departmental management for further discussion with payor representatives and other key stakeholders as needed and as applicable Provides support for the revenue cycle departments as applicable payment posting coding and accounts receivable AR follow up related to administrative duties as needed Assists with knowledge sharing payor and department training and provides support to other team members as advised by the manager and or supervisor Train new employees in billing posting and AR Resolves routine insurance billing inquiries and problems within departmental standards Follows established departmental workflows within the electronic health record system appropriate work queues in response to correspondence reports data requests received Processes financial insurance correspondence received associated to billing functions Meets departmental productivity and quality standards Completes claim edits timely compliantly and without errors Documents explicit concise and complete notes in system for each account worked Identifies claim processing issues and general billing trends Notifies supervisor and or manager regarding trends to avoid further delay in claims processing Demonstrates understanding of fundamentals of all payers including Medicare Medicaid and commercial payers and applicable revenue cycle operations Maintains strict confidentiality of patients employees and hospital information always Ensures protection of private health and personal information Adheres to all Health Insurance Portability and Accountability Act HIPAA Ensures claims are submitted within payor deadlines and reports barriers to claim submission to management Work on daily weekly and monthly report as per client and business needs Completes billing functions within established departmental standards including billing related work queues and workflows to ensure claims are billed accurately compliantly and timely Resolves basic edits rejections and unresolved no response insurance claims Processes actions to resolve clearinghouse billing rejections and eligibility related errors to ensure timeliness of charge claim submission Monitors and processes all no response claims for timely resolution of services within established work queues Complete AR follow up processes including claim corrections appeals payor follow up and resubmissions to expedite reimbursement relation to coding or other payor-based denials Analyze individual payor performances regarding fee schedule reimbursements and trends Where applicable submits accurate adjustments based on billing guidelines and departmental policies contract requirements or levels of authority Remains current on billing guidelines and regulations of various payers and or specialty practices as directed by the supervisor and or manager Ensures to achieve the below target with quality of 97 and above o Billing - 200 DOS day o Posting - 500-line item day o Rejection or Denial - 70 per day o AR calling - 45 Per day Job Types Full-time Permanent Pay 20 000 00 - 29 000 00 per month Benefits Health insurance Leave encashment Provident Fund Application Question s How many years of experience do you have in Payment Posting What is your current salary package and your expected salary Are you an immediate joiner Work Location In person

📌 Medical Billing Specialist - Payment Posting (Tamil Nadu)
🏢 Starlink Healthcare Administration
📍 Tamil Nadu