19 Oct
|
Harris Computer
|
Mumbai
19 Oct
Harris Computer
Mumbai
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 Benefits (EOB).
- Apply necessary adjustments, refunds, and write-offs per payer guidelines.
- 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.
Job Qualifications:
- Bachelor’s degree in accounting, Finance, Business Administration, or a related field (preferred).
- 1-3 years of experience in medical billing, payment posting, or revenue cycle management.
- Experience working with RCM software (e.g., EPIC, eClinicalWorks, NextGen, Athenahealth,Kareo or Cerner
- Solid understanding of insurance reimbursement, medical billing, and denial management.
- Proficiency in MS Excel, accounting principles, and payment reconciliation.
- Knowledge of HIPAA regulations and compliance standards.
📌 Payment Associate-3 (Mumbai)
🏢 Harris Computer
📍 Mumbai