Payment Poster (Revenue Cycle Management)

1 - 3 years

1 - 3 Lacs

Posted:1 month ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Payment Poster

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

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Cognithium Health

Healthcare Technology

San Francisco

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