Primary Functions
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.
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.
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).
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
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