Senior Process Executive

Payment Posting with Analyticals

Job Summary

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.

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

Qualifications

- Role Overview: 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) ; Medical billing certification (preferred) ; RCM training (advantage)
- Experience Requirement: 5+ Years
- Core Technical Skills: ERA (835) posting; EOB interpretation; Allowed vs Paid vs Adjustment; Contractual adjustments; Secondary balance transfer
- Codes Knowledge: CARC / RARC; CO / PR / OA groups; Patient responsibility components; Copay; Coinsurance; Deductible
- RCM Understanding: Claim lifecycle; Coordination of advantages; Payer sequence; Denial impact on A/R
- System Skills: Practice Management (PM) software (Can be trainable); ERA auto-posting tools; Excel basics; Clearinghouse portal navigation
- Analytical Skills: Identify underpayments; Detect posting errors; Match EOB to claim; Validate allowed amount; Spot overpayments; Flag denial patterns
- Accuracy Productivity Expectations: Accuracy: 98%; ERA lines: 1,500-3,000/day; Manual EOB/day; Zero reconciliation variance; Minimal unapplied cash
- Behavioral Competencies: Attention to detail; Numerical accuracy; Process discipline; Consistency; Accountability; Time management
- Advanced Competencies (Senior Poster): Reconciliation expertise; Complex payer EOB interpretation; Cross-DOS credit transfer; Contract variance analysis; Training juniors; QA auditing

Disclaimer: This job posting and Location has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.

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