We are looking for an experienced Payment Poster to join our Revenue Cycle Management (RCM) team. The ideal candidate will be responsible for accurately posting payments, adjustments, and denials to patient accounts, ensuring compliance with industry regulations and payer policies. The role requires a strong understanding of EOB (Explanation of Benefits), ERA (Electronic Remittance Advice), and reconciliation processes. Key Responsibilities (KRAs): 1. Payment Posting & Reconciliation Accurately post payments, adjustments, and denials from ERAs, EOBs, and checks to patient accounts in the billing system. Maintain high accuracy in posting to minimize errors affecting financial reporting and patient accounts. Perform batch reconciliation to ensure that posted amounts match deposits. Identify and rectify any discrepancies in payment postings and coordinate with the finance team for resolution. 2. Denials & Adjustments Handling Identify and categorize insurance denials while posting payments. Post necessary contractual adjustments based on payer agreements. Flag claims for appeal or escalation when payments are incorrect or denied without valid reasoning. Work closely with the Denials Management team to track trends in underpayments or rejections. 3. ERA & EOB Analysis Process both paper-based and electronic remittance advice (ERA) efficiently. Cross-check payments with EOBs to ensure correct reimbursement and address discrepancies. Communicate with payers for missing payments or discrepancies in posted amounts. 4. Reporting & Reconciliation Maintain daily logs of payments posted and provide reports to the management. Reconcile payments with bank statements and ensure no misallocations. Generate reports on denial trends, payment accuracy, and payer reimbursement patterns. 5. Coordination & Process Improvement Collaborate with the AR team to resolve outstanding issues related to payment discrepancies. Provide feedback on denial patterns to optimize future claim submissions. Ensure compliance with HIPAA regulations and RCM best practices. Contribute to process improvement initiatives to enhance accuracy and efficiency in payment posting. 6. Compliance & Quality Assurance Follow standard operating procedures (SOPs) for payment posting. Ensure HIPAA compliance and maintain confidentiality of patient and financial data. Adhere to company policies and quality standards for revenue cycle processes. Required Skills & Qualifications: Minimum 1 year of experience in Payment Posting in an RCM/BPO/KPO setup. Strong knowledge of insurance payment processing, EOBs, ERAs, and payer adjustments. Experience working on medical billing software such as Athenahealth, eClinicalWorks, Kareo, NextGen, AdvancedMD, or equivalent. Ability to handle large payment batches with high accuracy. Strong analytical and problem-solving skills. Proficiency in MS Excel for reconciliation and reporting. Good communication skills to coordinate with internal teams and external payers. Preferred Qualifications: Exposure to Denials Management and AR follow-up . Experience in multi-specialty RCM services. Work Environment & Benefits: Competitive salary package as per industry standards. Opportunity to work in a fast-growing healthcare outsourcing company. Exposure to advanced RCM processes and industry best practices. Performance-based incentives and career growth opportunities. Important Notes : No Cab or Meal Facility Provided Only immediate joiners with no notice period are eligible. Only male candidates are eligible for the opportunity. Interested candidates can either call or send their updated resumes via Whatsapp at 9289754401

Job Summary: We are seeking an experienced and detail-oriented AR Caller/Denials Management Specialist to join our Revenue Cycle Management (RCM) team. The ideal candidate will have a minimum of 1 years of experience in AR Calling, Denials Management, or Medical Billing. The candidate should be proficient in English communication skills, possess strong problem-solving abilities, and be capable of managing all aspects of the AR follow-up and denials process. Key Responsibilities: Accounts Receivable (AR) Follow-up: Contact insurance companies and patients to follow up on unpaid or partially paid claims. Ensure that claims are processed in a timely manner and escalate issues where necessary. Investigate and resolve discrepancies in payments, denials, and adjustments. Denials Management: Review and analyze denied claims to identify root causes. Prepare and submit appeals to insurance companies for claim reprocessing. Work with insurance companies to address and resolve claim rejections and denials. Ensure all denials are appealed or written off in a timely manner. Documentation & Reporting: Accurately document all communication with payers and patients in the system. Maintain a clear record of claims status, denials, and actions taken. Generate and review reports to ensure accurate claim follow-up and appeal submission. Client Interaction: Communicate effectively with clients regarding claim status, denials, and resolution steps. Ensure that clients are kept informed of all updates and progress regarding outstanding claims and denials. Cross-functional Collaboration: Collaborate with other departments (e.g., coding, billing, and customer service) to resolve issues affecting claims. Work closely with the management team to streamline processes and improve AR performance. Qualifications: Minimum 1 years of experience in AR Calling, Denials Management within the healthcare industry. Strong knowledge of the revenue cycle process, including claims, denials, and denials management. Excellent written and verbal communication skills in English. Knowledge of medical terminology and insurance processes. Familiarity with medical billing software and tools. Strong analytical and problem-solving skills with attention to detail. Ability to work independently and as part of a team in a fast-paced environment. Good organizational skills and the ability to manage multiple priorities simultaneously. Preferred Skills: Experience with payer portals and claims submission tools. Familiarity with ICD-10, CPT, and HCPCS coding. Proficiency with MS Office (Excel, Word) and relevant RCM software. No cab or meal facility is available. Only immediate joiners are eligible for the opportunity. How to Apply: Interested candidates can either call or send their updated resume via WhatsApp at 9289754401

Company Overview: We are a fast-growing Revenue Cycle Management (RCM) services company based in Noida, providing comprehensive RCM solutions to US-based healthcare providers, clinics, and hospitals. Our mission is to deliver high-quality, cost-effective billing, coding, credentialing, and denial management services through a team of skilled professionals and cutting-edge technology. Position Summary: We are seeking a dynamic and results-oriented Business Development Manager to lead our growth initiatives and expand our client base in the US healthcare market. The ideal candidate must have a proven track record of generating qualified leads and securing business opportunities for RCM services. Key Responsibilities (KRAs): Identify, qualify, and generate new business opportunities in the US healthcare market for end-to-end RCM services. Build and maintain a strong pipeline of prospects through cold calling, email campaigns, LinkedIn outreach, and networking. Develop and execute lead generation strategies focused on hospitals, clinics, group practices, and specialty providers. Collaborate with internal stakeholders to prepare proposals, pitch decks, and pricing models tailored to client needs. Conduct discovery calls, present service offerings, and close deals to onboard new clients. Maintain a clear understanding of US healthcare billing, coding, and RCM workflows to effectively pitch solutions. Track, manage, and report sales activities using CRM tools. Stay up-to-date with industry trends, competitors, and emerging technologies in the RCM space. Key Requirements: Minimum 5 years of experience in lead generation or client acquisition in the RCM industry . Strong understanding of the US healthcare system, medical billing, coding, and RCM processes. Proven ability to independently generate and close new business. Excellent verbal and written communication skills, with a persuasive and consultative sales approach. Ability to work with cross-functional teams and adapt to a fast-paced, target-driven environment. Proficiency with CRM systems, LinkedIn Sales Navigator, and Microsoft Office Suite. What We Offer: Competitive base salary based on experience and industry standards. Lucrative bonus and incentive structure tied to successful client acquisition. Opportunity to work with a growing company with a strong leadership team and clear growth trajectory. Flexible and supportive work environment with a focus on performance and results. To Apply: Interested candidates may send their updated resume along with a brief cover letter to humanresources@cognithium.com or can call at 9289754401