Primary Functions

1. Payment Processing & Posting
- Post payments from insurance companies, government programs (Medicare/Medicaid), and

patients into the RCM system.
- Process Electronic Remittance Advices (ERA) and Manual Explanation of Advantages (EOB).
- Balance and reconcile daily deposits with posted payments.

2. Denial Management & Reconciliation
- Identify and post insurance denials while ensuring timely follow-up for resolution.
- Work with the billing and accounts receivable teams to correct claim errors and resubmit

claims.
- Track underpayments and escalate discrepancies to the RCM Manager.

3. Reporting & Documentation
- Maintain accurate payment records and reconciliation reports.
- Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies.
- Ensure compliance with company policies and industry regulations (HIPAA, Medicare

guidelines).

4. Communication & Collaboration
- Coordinate with the billing team, accounts receivable, and insurance companies to resolve

Payment discrepancies.
- Respond to inquiries from internal teams regarding posted payments.
- Escalate unresolved payment issues to the appropriate leadership.

📌 Payment Associates (Vikhroli)
🏢 Harris Computer Systems
📍 Vikhroli