Full Description
Wonderful Chance in Health BPO as a Payment Posting Executive
Job Description
The precise and prompt recording of payments received from insurance companies and patients is the responsibility of the Payment Posting Executive, a specialist position within the Revenue Cycle Management (RCM) process. You play a critical role in the financial well-being of healthcare providers by ensuring that the accounts receivable (AR) balance accurately reflects reality and that every dollar received is appropriately allocated to the proper patient account. You will reconcile accounts and find denials by navigating Electronic Remittance Advices (ERAs), Explanation of Benefits (EOBs), and patient payments. The ideal applicant is a meticulous professional who is dedicated to data integrity and has a solid understanding of medical insurance jargon.
Responsibilities
ERAs and Manual Posting: Manually post payments from paper Explanation of Benefits with 100% accuracy and import Electronic Remittance Advices into the billing system.
Denial Identification: During the posting process, identify and code claim denials, then forward them right away to the AR/Denial Management team
for resolution.
Contractual Adjustments: To guarantee that the patient's debt is computed accurately, apply precise contractual adjustments based on payer fee schedules.
Processing subsequent Claims: Determine when a primary insurance payment necessitates the filing of a subsequent claim and make sure the required data is sent for submission.
Co-pays, deductibles, and co-insurance payments made by patients using cash, checks, or credit cards are reconciled.
Reconciliation & Balancing: To guarantee that the books are precisely balanced, reconcile daily recorded totals against bank deposits and "Day Sheets."
Skills:
Technical Knowledge: EOB/ERA reading comprehension and RCM software proficiency.
Medical Terminology: Knowledge of CPT, ICD-10, and HCPCS codes, along with standard adjustment/denial codes.
Mathematical Accuracy: Excellent numeracy abilities for daily batch balancing, percentage calculations, and adjustments.
Speed and Accuracy: Fast entering of alphanumeric data while reducing entry errors.
We invite you to apply and explore this exciting opportunity!
Warm Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com