Provide Tier 1 and Tier 2 support to the US doctors and Clinical staff. Receive, analyze, and process the requests submitted via e-mail, Cases, and voice mails, inbound calls. Trouble shoot the errors on the EMR application. Assist Clinical staff and physicians with the workflow issues. Ability to deal with problems involving several variables in both standard and unusual situations. Coordinate with internal teams in order fix the issues in a timely manner.
Create and Execute manual test cases and document results. Identify, report, and track bugs and defects. Validate UI, functionality, and performance for the software across different platforms. Collaborate with developers and QA teams to ensure test coverage. Create test scripts in Java or Python using automation tools
Primary Functions 1. Payment Processing & Posting Post payments from insurance companies, government programs (Medicare/Medicaid), and patients into the RCM system. Process Electronic Remittance Advices (ERA) and manual Explanation of Benefits (EOB). • Apply necessary adjustments, refunds, and write-offs per payer guidelines. • Balance and reconcile daily deposits with posted payments. 2. Denial Management & Reconciliation • Identify and post insurance denials while ensuring timely follow-up for resolution. • Work with the billing and accounts receivable teams to correct claim errors and resubmit claims. Track underpayments and escalate discrepancies to the RCM Manager. 3. Reporting & Documentation Maintain accurate payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure compliance with company policies and industry regulations (HIPAA, Medicare guidelines). 4. Communication & Collaboration Coordinate with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership. Job Qualifications: Minimum Qualifications: 1. Bachelor’s degree in Accounting, Finance, Business Administration, or a related field (preferred). 2. 1-3 years of experience in medical billing, payment posting, or revenue cycle management. 3. Experience working with RCM software (e.g., EPIC, eClinicalWorks, NextGen, Athenahealth,Kareo or Cerner 4. Strong understanding of insurance reimbursement, medical billing, and denial management. 5. Proficiency in MS Excel, accounting principles, and payment reconciliation. 6. Knowledge of HIPAA regulations and compliance standards. Shift time 8am to 5pm Work mode- Office
Primary Functions: Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines Communication & Collaboration Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond promptly to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership as needed. Additional Job Description: Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft/Behavioral Skills: Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Shift Timing: Day Shift (8am to 5pm IST)/ Work Mode: Work from Office-Mumbai
Primary Functions: Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines Communication & Collaboration Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond promptly to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership as needed. Additional Job Description: Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft/Behavioral Skills: Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Shift Timing: Day Shift (8am to 5pm IST)/ Work Mode: Work from Office-Mumbai
Primary Functions: Payment Processing & Posting Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system. Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs). Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines. Balance and reconcile daily deposits with posted payments to ensure accuracy. Denial Management & Reconciliation Identify and accurately post insurance denials, ensuring timely follow-up for resolution. Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions. Track underpayments and escalate discrepancies to the RCM Manager for further action. Reporting & Documentation Maintain precise payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines. Communication & Collaboration Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond promptly to inquiries from internal teams regarding posted payments. Additional Job Description: Any bachelor’s degree. Good Communication Skills (Written and Verbal). 1-3 years of proven experience in payment posting within a healthcare environment is essential Strong understanding of healthcare revenue cycle management (RCM) processes. Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge. Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar). Soft/Behavioral Skills: Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Shift Timing: Day Shift (8am to 5pm IST) Work from Office- Mumbai
Bizmatics, A leading EHR company provides clinical and business productivity software and services to medical practices & multi-specialties. Our cloud-based application, PrognoCIS is a fully-integrated solution comprising EHR, Telemedicine, Practice Management, Medical Billing, RCM, Patient Engagement tools, and more. Built on multi-tier Internet architecture, PrognoCIS EHR supports all major specialties and has fully customizable templates. The integrated architecture supports common databases for all Prognocis products to ensure seamless, real-time information flow between EHR and Billing. PrognoCIS is available both as an ASP service or an in-house Client-Server solution. As a Quality Assurance Analyst, this professional will be responsible for ensuring the quality and reliability of our software applications through comprehensive testing processes. You will collaborate closely with cross-functional teams, including developers, product managers, and project managers, to drive the success of our products. Work Mode: Hybrid Shift Timings: 9:30AM to 6:30PM IST Location: Mumbai, Nagpur Responsibilities & Duties: 1. Analyze software requirements and technical specifications. 2. Participate in requirement and design review meetings. 3. Develop and documents application test plans based on business requirements and technical specifications. 4. Create test cases including detailed expected results. What we are looking for: 1. Bachelor’s degree in Computer Science, Software Engineering, a related field, or relevant experience. 2. 1+ year(s) of experience in software quality assurance or software testing. 3. Hands-on experience in manual testing and familiarity with automated testing tools. 4. Proven understanding of QA processes, methodologies, and testing types
Hiring Manager: Lenson Fernandes Business Unit: Resolv Job Title: Payment Associate Header: Here at Harris, we have 5 different business verticals, Public Sector, Healthcare, Utilities, Insurance and Private sector, with over 12,000 employees and more than 100,000 customers located in 200 countries around the globe. We need your help to keep growing and we hope you can become an integral part of the Harris family. BU: Resolv has revenue cycle solution brands in our DNA. We formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with more than 30 years of industry expertise—including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. As we continue to expand, we remain dedicated to partnering with RCM companies that offer a variety of solutions and address today’s most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we will improve financial performance and patient experience and help build sustainable healthcare businesses. Job Summary: The Payment Posting Associate is responsible for accurately and efficiently posting payments, adjustments, and denials from various payers. The role is critical in ensuring the financial integrity of the organization by reconciling deposits, identifying discrepancies, and collaborating with the billing team to resolve payment-related Issues. Primary Functions: 1. Payment Processing & Posting Post payments from insurance companies, government programs (Medicare/Medicaid), and patients into the RCM system. Process Electronic Remittance Advices (ERA) and manual Explanation of Benefits (EOB). • Apply necessary adjustments, refunds, and write-offs per payer guidelines. • Balance and reconcile daily deposits with posted payments. 2. Denial Management & Reconciliation • Identify and post insurance denials while ensuring timely follow-up for resolution. • Work with the billing and accounts receivable teams to correct claim errors and resubmit claims. Track underpayments and escalate discrepancies to the RCM Manager. 3. Reporting & Documentation Maintain accurate payment records and reconciliation reports. Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies. Ensure compliance with company policies and industry regulations (HIPAA, Medicare guidelines). 4. Communication & Collaboration Coordinate with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies. Respond to inquiries from internal teams regarding posted payments. Escalate unresolved payment issues to the appropriate leadership. Job Qualifications: 1. Bachelor’s degree in accounting, Finance, Business Administration, or a related field (preferred). 2. 1-3 years of experience in medical billing, payment posting, or revenue cycle management. 3. Experience working with RCM software (e.g., EPIC, eClinicalWorks, NextGen, Athenahealth,Kareo or Cerner 4. Strong understanding of insurance reimbursement, medical billing, and denial management. 5. Proficiency in MS Excel, accounting principles, and payment reconciliation. 6. Knowledge of HIPAA regulations and compliance standards. Additional Qualifications(Good to Have): Any diploma or Higher Degree. Soft/ Behavior Skills: Good Communication and Collaboration. Strong ARO Ability to work both independently and as part of a team Strong analytical and creative problem-solving skills The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. It is not designed to be utilized as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this job. Working Environment: This job operates in a professional office environment or remote home office location. This role routinely uses standard office equipment such as computers, laptops and other stuffs. This role may occasionally encounter Protected Health Information, Personal Identifiable Information or Privacy Records, and it is essential that all employees adhere to confidentiality requirements as outlined in the Employee Handbook and Harris’ Security and Privacy policies, as well as apply the concepts learned in the annual Security Awareness training. Expected Hours of Work: 8am to 5pm IST. Work Mode: Work from Office.
Business Unit: Resolv was formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise, including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. Our DNA is rooted in revenue cycle solutions. As we continue to expand, we remain dedicated to partnering with RCM companies that offer diverse solutions and address today's most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we improve financial performance and patient experience, helping to build sustainable healthcare businesses. Job Summary: Responsible for managing prior authorizations and referrals, including verifying insurance eligibility, reviewing clinical data, and ensuring timely approvals. Must demonstrate accuracy (95%+), critical thinking, problem-solving, and the ability to multitask in a fast-paced, team-oriented environment while maintaining compliance with client workflows. Work Mode: Remote Shift Timings: 6pm to 3am (Night Shift) Location: Mumbai Primary Functions: Verify patient insurance coverage and eligibility. Identify and complete the correct prior authorization form required for each payer. Assist in the initiation of new prior authorization/referrals. Review clinical data against specified medical criteria for authorization. Review incoming orders for completeness to determine if an authorization will be approved. Monitor client schedules for upcoming appointments to ensure timely approvals. Follow up on pending requests and maintain proper tracking until closure. Utilize payer portals to submit and monitor authorizations. Coordinate Peer-to-Peer reviews when necessary. Communicate with insurance providers daily to obtain and confirm authorizations. Ensure compliance with client workflows, payer protocols, and company standards. Meet departmental production standards and accuracy benchmarks consistently. Identify issues and escalate to management when required. Support the team approach by assisting colleagues and sharing best practices. Train new staff members when assigned. Perform additional duties as assigned. (Mandatory Qualifications & Skills): Bachelor’s degree (in any stream). At least 6 months to 1 year of relevant experience in Pre-authorization, Verification, or Accounts Receivable (AR). Strong attention to detail with the ability to work in a fast-paced environment. Proficiency in multitasking and meeting accuracy standards (95%+). Effective written and verbal communication skills. Knowledge of CPT Codes and ICD-10. Knowledge of clinical documentation required for authorizations/referrals. Awareness of retro-authorization timelines. Understanding of differences between referrals and authorizations. What Would Make You Stand Out: (Preferred/Good-to-Have Skills) Prior Authorization experience in Drugs and Radiology. Familiarity with revenue cycle processes. Accounts Receivable experience. Ability to work independently while collaborating effectively in a team. Skills/ Behavioural Skills: Problem-Solver: Identifies and resolves healthcare billing discrepancies. Organized: Manages high volumes of medical remittances efficiently. Clear Communicator: Effectively discusses payment issues with healthcare teams. Analytical: Understands healthcare financial data and denial patterns. Benefits: Annual Public Holidays as applicable 30 days total leave per calendar year Mediclaim policy Lifestyle Rewards Program Group Term Life Insurance Gratuity ...and more!