EOB/ERA Processing

- Review and analyze Explanation of Advantages (EOBs) and Electronic Remittance Advice (ERAs) received from insurance companies.
- Identify payment details, adjustments, denials, and patient responsibilities.
- Ensure accurate processing of insurance remittance information.

2. Payment Posting

- Accurately post insurance payments to individual patient accounts.
- Apply patient deductibles, copayments, coinsurance, and contractual adjustments.
- Ensure correct allocation of payments and adjustments.
- Perform manual and electronic payment posting as required.

3. Denial Management

- Identify and record denied or partially paid claims.
- Review denial codes and reason codes to understand payment discrepancies.
- Transfer outstanding balances and denied claims to the Accounts Receivable (AR) or Denial Management team for further action and appeals.

4. Account Reconciliation

- Identify payment discrepancies, underpayments, and overpayments.
- Reconcile posted payments against EOBs and ERAs.
- Maintain accuracy in payment posting and account balances.
- Ensure timely completion of daily productivity and quality targets.





Required Skills and Qualifications

- Hands-on experience with medical billing and EHR software such as Epic, Nextech, Allscripts, ModMed, Athenahealth, Citrix, or similar platforms.
- Basic knowledge of medical coding systems such as CPT, ICD-10-CM, and HCPCS.
- Strong mathematical, analytical, and problem-solving skills.
- Ability to identify payment variances and discrepancies in large datasets.
- Good understanding of the US healthcare Revenue Cycle Management (RCM) process.
- Knowledge of Medicare, Medicaid, and commercial insurance payer guidelines.
- Strong attention to detail and accuracy.
- Good communication skills and ability to work within a team.

Preferred Qualifications

- Previous experience in US healthcare medical billing, particularly in Payment Posting.
- Knowledge of insurance payment processing and denial management.
- Familiarity with electronic and manual payment posting workflows.

Pay: ₹15,000.00 - ₹20,000.00 per month

Benefits:

- Paid sick time
- Provident Fund

Work Location: In person

📌 Immediate Hiring - US Healthcare - Payment Posting (Tiruchirappalli)
🏢 Tekessence Software Solution
📍 Tiruchirappalli