01 Sep
|
AP Management Consultants
|
India
01 Sep
AP Management Consultants
India
Roles & Responsibilities:
Audit Payment Posting transactions for accuracy.
Compare system postings with EOBs, ERAs, and payment remittances.
Verify correct patient, claim, payer, payment amount, and service line.
Check payments, adjustments, write-offs, denials, refunds, and patient responsibility.
Identify and document incorrect, duplicate, or missing transactions.
Validate CARC/RARC and denial codes where applicable.
Identify underpayments, overpayments, zero-pay, and unapplied cash.
Classify errors as critical/non-critical and financial/non-financial.
Provide feedback and coaching to Payment Posting associates.
Track recurring errors and support Root Cause Analysis (RCA).
Maintain QA reports, error logs, and audit records.
Meet defined quality, productivity, and turnaround-time targets.
Follow SOPs, HIPAA, and data privacy/security guidelines.
📌 Qa Analyst Puducherry (India)
🏢 AP Management Consultants
📍 India