Associate - Payment Posting

Job Title: Associate Payment Posting Years of Experience: 1–2 years Location: Hyderabad, Telangana Mode of interview: In-person. Mode of operation: Work from office Shift Timings: 9:00 a.m.–6:00 p.m Job Description Functional Expertise: Should be able to post ERAs and Manual posting, patient-cash, check and CC payments. Should have strong understanding of medical billing terms, such as co-pays, coinsurances, deductibles allowable amount, contractual adjustments, out-of network and in-network processing, retractions/recoupments, capitation payments, Collection agency payments, MVA and WC payments, Correspondence and Zero claims. Should be able to access websites to retrieve, process and upload the EOBs. Should be able to identify line item denials for non-covered services, inclusive services, credentialing, medical necessity, non-par, no-auth denials, COB Denials and associated denial reason codes. Medicare claims processing-sequestration, interest payment, reporting codes, Modifiers Should be able to understand Payer specific guidelines, process secondary and Tertiary claims and patient statements. Process Insurance and patient refunds. Should be capable of interpreting and processing the EOBs, research, correct and re-file denied claims. Reconciliation and balancing the payment batches. Operational Duties: Comply to daily productivity and Accuracy standards. Submit daily production reports to team lead. Stay in constant communication with team lead /operations manager Professional & behavior is expected Receive feedback from QA on errors and follow updated protocol. Additional Comments Having NG application knowledge will be advantage