Full Description
Payment Posting Executive Quickly Rising RCM Process Role
Job Description
Duties:
ERA & Manual Posting: For non-electronic payers, download and process Electronic Remittance Advice (ERA) files and manually post payments from paper Explanations of Benefits (EOB).
Contractual Adjustments: Using the insurance provider's contract as a guide, determine and implement the appropriate contractual adjustments, write-offs, and co-insurance/co-pay amounts.
Denial Identification: During the posting process, identify and record denial codes (CO, PI, and OA) and forward them right away to the AR/Denial Management team for further action.
Patient Payment Posting: Record payments made by patients at the point of service or through online portals, ensuring they are attributed to the relevant encounter.
Secondary Billing Trigger:
Make sure the system appropriately initiates the claim to the secondary insurance or the patient's balance after the initial insurance payment is posted.
Focus Skills:
EOB/ERA literacy is the ability to read and understand complicated insurance remittance forms and claim adjustment reason codes (CARCs).
Numerical Accuracy: Outstanding capacity to manage large-scale data entry with 0% mathematical error tolerance.
Software Proficiency: Knowledge of MS Excel for reconciliation and medical billing software (such as NextGen, Athena, or Epic).
Integrity: Upholding the highest moral standards when managing sensitive financial information and significant financial transactions.
Apply now to become an integral part of our growing team!
With Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com