07 Oct
|
Sustainable Medical Billing
|
Chennai
07 Oct
Sustainable Medical Billing
Chennai
Job Title: Payment Poster / Revenue Cycle Specialist
Experience Level: 1 to 5 Years
Department: Revenue Cycle Management (RCM) / Medical Billing
Employment Type: Full-time
Job Summary
We are seeking a detail-oriented, highly organized Payment Poster with 1 to 5 years of experience in healthcare revenue cycle management. In this role, you will be responsible for accurately processing, posting, and reconciling insurance and patient payments, ERA/EFT files, adjustments, write-offs, and denials into our billing system. You will work closely with the Accounts Receivable (A/R) and Billing teams to ensure cash balancing, identify discrepancies, and maintain compliance with healthcare regulations.
Roles & Responsibilities
- Payment & Adjustment Posting: Post daily electronic (ERA/835) and manual payments, contractual adjustments, write-offs, and denials received from commercial payers, Medicare, Medicaid, and patient payments into the practice management/EHR system.
- EOB & Remittance Analysis: Review and interpret Explanation of Advantages (EOB), Remittance Advices (RA), and denial codes to ensure accurate line-item entry and proper balance transfers to secondary payers or patient responsibility.
- Reconciliation & Balancing: Reconcile daily payment batches against bank deposits, lockbox reports, and electronic clearinghouse totals to ensure 100% financial accuracy prior to batch closing.
- Unapplied Cash & Credit Balances:
Research and resolve unapplied cash accounts, unpostable items, and credit balances. Initiate requests for patient/payer refunds or overpayment corrections as required.
- Denial Tracking: Flag and route claim denials, zero-pay vouchers, and underpayments to the appropriate A/R or Denials team member for immediate follow-up and appeals.
- Compliance & Data Entry: Maintain strict confidentiality and adhere to HIPAA, HITECH, and organizational billing guidelines when handling Protected Health Information (PHI).
Required Skills & QualificationsFor Entry-Level Candidates (1 to 5 Years):
- Education: High School Diploma / GED required; Associate degree in Healthcare Administration, Accounting, or related field is a plus.
- Experience: Minimum 1 year of hands-on payment posting or general medical billing/coding experience in an outpatient, hospital, or central billing office (CBO) setting.
- Core Competencies:
- Fundamental understanding of CPT, ICD-10, HCPCS, and HCPCS modifier codes.
- Proficiency in reading and interpreting payer EOBs, RAs, and denial codes.
- High-speed data entry and 10-key numeric keypad accuracy.
- Basic proficiency in Microsoft Excel (formulas, basic spreadsheets) and EHR/PM software (e.g., NextGen, Epic, eClinicalWorks, Allscripts).
Pay: ₹14,000.00 - ₹32,000.00 per month
Benefits:
- Health insurance
- Leave encashment
Work Location: In person
📌 Payment Poster (Chennai)
🏢 Sustainable Medical Billing
📍 Chennai