Medical Billing Specialist Coimbatore

Medical Billing Specialist Coimbatore

04 Nov
|
ZionRCM Health
|
Coimbatore

04 Nov

ZionRCM Health

Coimbatore

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

Perks:
Versatile schedule
Paid time off
Provident Fund Work

Location:
In person

📌 Medical Billing Specialist Coimbatore
🏢 ZionRCM Health
📍 Coimbatore

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