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.

1. ERA/EOB Processing

- Review Electronic Remittance Advice (ERA – 835).

- Analyze Explanation of Benefits (EOB).

- Identify approved, denied, and partially paid claims.

- Verify insurance adjustments and payment details.

1. 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.

1. 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.

1. 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.

1. 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.

1. Refund and Credit Balance Identification

- Identify overpayments and credit balances.

- Report duplicate payments.

- Escalate refund-related issues to the concerned team.

1. 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

- Versatile schedule

- Paid time off

- Provident Fund

Work Location: In person

📌 Medical Billing Specialist (Coimbatore)
🏢 ZionRCM Health
📍 Coimbatore