Job Summary

Position Title: Senior Process Executive

Experience: 3+ Years
Roles and Responsibilities
- Payment Entry: Post ERA (835) payments automatically or manually; Post manual EOB payments from paper or portal; Apply payments to: Charges / Adjustments / Patient responsibility; Verify payment accuracy vs allowed amount
- Adjustment Posting: Post contractual adjustments per payer contract; Apply correct adjustment codes: CO (Contractual) / PR (Patient Responsibility) / OA (Other Adjustments); Ensure no over-adjustment or under-adjustment
- Denial Remark Code Capture: Record all denial codes (CARC / RARC); Map denials correctly for denial team; Flag: Zero payments / Underpayments / Medical necessity denials / Authorization denials
- Patient Payments: Post: Copay / Coinsurance / Deductible / Self-pay payments; Reconcile with: Front desk collections; Patient portal payments; Lockbox / bank deposits
- Credit Balance Identification: Identify overpayments; Flag refunds required; Transfer credits across DOS or accounts; Prevent negative A/R
- Underpayment Identification: Compare:



Paid amount vs contract allowed; Flag: Payer underpayment; Downcoding; Incorrect fee schedule; Bundling issues
- Exception Handling: Escalate cases such as: Mismatched patient; Missing claim; Unapplied cash ERA without claim; Negative allowed
Candidate Profile
- Role Summary: Payment Posting Executive is responsible for accurate posting of insurance and patient payments, adjustments, and denial codes into the billing system to maintain correct A/R and support revenue cycle operations.
- Educational Qualification: Any degree (Commerce / Science preferred).
- Educational Qualification: Medical billing certification (preferred).
- Educational Qualification: RCM training (advantage).
- Experience Requirement: 5+ Years
- Core Technical Skills: Payment Knowledge
- Core Technical Skills: Codes Knowledge
- Core Technical Skills: RCM Understanding
- System Skills
- Analytical Skills: Candidate should

📌 Sr Process Executive (Coimbatore)
🏢 Velan Info Services
📍 Coimbatore