Location: [Hyderabad]
Experience: Minimum 2 years (in U.S. Medical Billing / Payment Posting)
Qualification: Graduate in Life Sciences / Commerce / Pharmacy / Nursing / Allied Health Sciences
Job Description:
We are seeking an experienced Medical Billing Payment Posting to join our healthcare revenue cycle management (RCM) team. The ideal candidate will have hands-on experience in posting insurance and patient payments, reconciling accounts, and ensuring accurate and timely processing of payments in line with U.S. healthcare standards.
Roles and Responsibilities:
- Post insurance (EOB/ERA) and patient payments accurately in the billing software.
- Reconcile daily deposits with payment batches and ensure zero unapplied payments.
- Identify and document denials, underpayments, and other payment discrepancies.
- Perform payment reconciliation for all payers and ensure reports are balanced.
- Work closely with the AR and denial management teams to resolve posting issues.
- Review payer remittance advice for accuracy and compliance with contractual adjustments.
- Ensure timely processing of daily payment batches as per client SLA and quality standards.
- Handle refunds, reversals, and re-posting activities as per process requirements.
- Maintain audit-ready documentation for all payment activities.
- Ensure adherence to HIPAA and data privacy guidelines at all times.
- Analyze payer trends and report recurring issues or discrepancies to the billing management team.
- Assist in preparing daily, weekly,
and monthly payment posting and reconciliation reports.
- Support internal and external audits by providing required payment data and documentation.
- Collaborate with cross-functional teams (AR, Coding, and Denial Management) to streamline posting processes.
- Suggest process improvements to enhance efficiency and accuracy in payment posting operations.
Ensure timely posting of secondary and tertiary insurance payments after primary payments are received.
- Review and post adjustments accurately as per payer contracts and company policies.
Identify and escalate credit balances, overpayments, and refund requests to the appropriate team.
- Assist in training and mentoring recent team members on payment posting procedures.
- Participate in daily or weekly team meetings to discuss performance, issues, and process updates.
Preferred Candidate Profile:
- Minimum 2 years of hands-on experience in U.S. medical billing and payment posting.
- In-depth understanding of EOBs, ERAs, patient payments, and payer remittances.
- Familiarity with billing systems like NextGen, eClinicalWorks, Kareo, Athena, or similar.
- Strong analytical and reconciliation skills.
- Excellent attention to detail and time management abilities.
- Good communication skills (written and verbal).
- Willingness to work in U.S. shift timings if required.
NOTE:
- Completely night shifts only
- Male candidates only
- Timings : 9:00 PM to 6:30 AM
- Monday to Friday working days