1. Payment Posting
- Post insurance payments (EFT, ERA, and EOB) into the billing system.
- Post patient payments received through cash, cheque, credit card, and online payments.
- Ensure accurate posting of payments against the correct patient accounts and claims. 2. ERA/EOB Processing
- Review Electronic Remittance Advice (ERA – 835).
- Analyze Explanation of Advantages (EOB).
- Identify approved, denied, and partially paid claims.
- Verify insurance adjustments and payment details. 3. Adjustment Posting
- Post contractual adjustments as per insurance agreements.
- Apply CO, PR, OA, and PI adjustment codes correctly.
- Ensure accurate adjustment posting according to payer guidelines. 4. Denial Identification
- Identify denied and underpaid claims.
- Review denial reason codes and remark codes.
- Route denied claims to the appropriate denial management or AR team.
- Identify zero-payment claims. 5. Payment Reconciliation
- Reconcile posted payments with bank deposits and ERA/EOB reports.
- Verify EFT and cheque payments.
- Identify payment mismatches and discrepancies.
- Ensure all received payments are posted accurately. 6. Unapplied Cash Management
- Identify unidentified and unapplied payments.
- Research missing claim or patient details.
- Resolve payment posting discrepancies.
- Ensure payments are applied to the correct accounts. 7. Refund and Credit Balance Identification
- Identify overpayments and credit balances.
- Report duplicate payments.
- Escalate refund-related issues to the concerned team. 8. Quality Check
- Verify payment posting accuracy.
- Avoid duplicate payment posting.
- Ensure correct adjustment and denial code mapping.
- Follow client-specific SOPs and quality standards. Pay: ₹18,000.00
- ₹25,000.00 per month
Benefits:
- Flexible schedule
- Paid time off
- Provident Fund Work
Location:
In person
📌 Medical Billing Specialist (Coimbatore)
🏢 ZionRCM Health
📍 Coimbatore
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