Company : ProBill RCM Location: Chandigarh, India Shift Timings : 09:00 A.M to 06:00 P.M IST and 06:30 P.M. to 03:30 A.M. IST Working Days: Monday to Friday (Weekends Off) About ProBill RCM : ProBill RCM is a trusted and rapidly growing Revenue Cycle Management (RCM) company dedicated to optimizing financial outcomes for healthcare providers in the US. We leverage advanced tools, industry best practices, and a client-first philosophy to streamline billing operations, minimize errors, and maximize efficiency. At ProBill RCM, we are committed to bridging the gap between healthcare services and financial clarity, ensuring our clients can focus on patient care while we manage their revenue cycle complexities. Job Summary: The Payment Posting Analyst plays a critical role in the healthcare revenue cycle,ensuring the accurate and efficient posting of all payment activities. This position involves meticulously reviewing and applying payments from various sources, reconciling accounts, and-identifying discrepancies to maintain a healthy revenue flow for our clients. The Payment Posting Analyst will work closely with billing, collections, and finance teams to ensure seamless operations and compliance with industry regulations. Key Responsibilities: Payment Application: o Review and accurately post electronic and manual payments from insurance carriers, patients, and third-party payers to patient accounts. o Apply contractual adjustments, write-offs, and denials in compliance with payer contracts and organizational policies. o Accurately interpret Explanation of Benefits (EOBs) and Electronic Remittance Advises (ERAs), identifying variances and escalating underpayments or rejections. o Post patient payments and balance daily deposits. o Reconcile checks and lost payments. Reconciliation & Reporting: o Review daily posting reports to identify discrepancies or errors and correct them promptly. o Assist in updating direct deposits daily and performing comparisons of downloaded files to direct deposits, correcting any discrepancies. o Generate reports on payment posting activities, including payment trends, outstanding balances, and accounts receivable. Denial Management & Research: o Capture and address denials effectively, adding appropriate ANSI denial codes and comments to ensure necessary appeals and post-payment follow-up. o Investigate the source of unidentified payments to ensure proper application. o Conduct research through payer portals to identify missing remittances. o Identify trends in payment posting issues and suggest corrective actions or process improvements. Compliance & Communication: o Ensure strict compliance with HIPAA and other federal, state, and payer regulations. o Maintain up-to-date knowledge of payer policies, medical billing terminology, and payment posting best practices. o Communicate effectively with internal billing and collections teams regarding payment trends, anomalies, and payer behavior. o Address client queries promptly and professionally as they relate to payment posting. Efficiency & Quality: o Maintain zero backlogs and consistently meet daily/weekly productivity targets. o Prioritize and manage workload effectively to meet multiple deadlines. o Participate in reviews as required by company policy. Required Qualifications: Experience: 1-3 years of experience in payment posting within a medical billing or RCM environment, preferably with US healthcare providers. Knowledge: o Strong understanding of US healthcare processes, insurance claims, and denials. o In-depth knowledge of EOBs, ERAs, CPT/ICD codes, and payer-specific rules. o Solid understanding of the full revenue cycle process. Technical Skills: o Proficiency in practice management systems. o Strong PC skills, including familiarity with Windows Operating Systems and Microsoft Office Products (especially Excel). o Experience with electronic payment posting (EPP) systems is a plus. Soft Skills: o Exceptional numerical accuracy and high attention to detail. o Excellent written and verbal communication skills. o Strong analytical and problem-solving abilities. o Ability to work independently with minimal supervision and as part of a team. o Must be spontaneous and enthusiastic with a positive mindset. o Ability to learn new tasks, remember processes, maintain focus, and make timely decisions. Preferred Qualifications: Experience with multiple medical specialties (e.g., behavioral health, internal medicine, surgical practices). Familiarity with reconciliation tools. Previous experience working in a RCM team. What ProBill RCM Offers: Competitive salary. Fixed 5-day work week with weekends off. A supportive and collaborative work environment encouraging growth and continuous learning. Opportunity to be part of a rapidly growing organization in the healthcare RCM industry. How to Apply: Interested candidates are invited to send their updated resume to hr@probillrcm.com with the subject line Payment Posting Analyst Application. Job Type: Full-time Pay: ₹30.00 - ₹70,000.00 per month Benefits: Health insurance Leave encashment Paid sick time Paid time off Schedule: Day shift Monday to Friday Rotational shift Supplemental Pay: Performance bonus Work Location: In person
Job Description: AR Executive / Sr. AR Executive Job Title: AR Executive / Accounts Receivable Analyst Department: Account Receivable Reports To: AR Team Lead / AR Manager Location: Chandigarh, India Company Overview: ProBill RCM ProBill RCM is a dynamic and rapidly growing medical billing and revenue cycle management(RCM) company committed to optimizing financial performance for healthcare providers across various specialties. We leverage advanced technology and a team of meticulous experts to deliver accurate, compliant, and efficient billing solutions, ensuring our clients achieve maximum reimbursement and operational efficiency. We pride ourselves on our attention to detail, commitment to client success, and a collaborative work environment. Position Summary: The AR Executive / Accounts Receivable Analyst at ProBill RCM is a critical role responsible for-actively managing and resolving outstanding medical claims and patient balances. This position involves proactive follow-up with insurance companies, diligent denial management, and a keen eye for identifying trends and resolving payment discrepancies to maximize our clients'revenue capture. The ideal candidate will be a tenacious problem-solver with strong analytical skills and a deep understanding of the revenue cycle. Key Responsibilities: Claims Follow-up & Resolution: o Proactively review and manage aging reports to identify and follow up on unpaid and underpaid claims with insurance companies (commercial, Medicare, Medicaid, Workers' Compensation, VA). o Communicate directly with insurance payers via phone, payer portals, and written correspondence to ascertain claim status, resolve payment issues, and expedite reimbursement. Denial Management: o Analyze denied claims to determine the root cause of denial (e.g., coding errors, medical necessity, eligibility issues, missing information). o Prepare and submit appeals with supporting documentation, ensuringcompliance with payer-specific guidelines and timeframes. o Track denial trends and provide feedback to internal teams (e.g., Charge Entry, Coding) or clients to prevent future denials. Accounts Receivable Analysis: o Identify and analyze trends in outstanding accounts, underpayments, and denials to recommend process improvements. o Ensure proper posting of payments, adjustments, and write-offs. o Collaborate with the payment posting team to reconcile accounts. Patient Accounts & Collections: o Address patient account inquiries related to balances and Explanation of Benefits(EOBs). o Assist in setting up payment plans or resolving patient collection issues as per client policies. Documentation & Reporting: o Maintain accurate and detailed notes in the practice management systemregarding all follow-up actions and communications. o Generate and interpret AR reports to assess performance and identify areas for improvement. Compliance & Knowledge: o Stay current with changes in billing regulations, payer policies, and industry best practices. o Ensure all AR activities comply with HIPAA and other relevant healthcareregulations. Qualifications: Education: o High School Diploma or equivalent required. o Bachelor's degree in healthcare administration, finance, or a related field preferred. Experience: o 2-5 years of direct experience in Accounts Receivable, Medical Billing, or Revenue Cycle Management, with a strong focus on insurance follow-up and denial management. o Experience with various insurance types (commercial, Medicare, Medicaid) inessential. o Prior experience in a multi-specialty RCM environment is a plus. Skills & Knowledge: o Strong understanding of the entire revenue cycle process. o In-depth knowledge of CPT, ICD-10-CM, and HCPCS coding, and medical terminology. o Proficiency in interpreting Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and denial codes. o Exceptional analytical and problem-solving skills to investigate and resolve complex billing issues. o Strong communication skills (verbal and written English) for effective interaction with insurance payers, clients, and internal teams. o Proficiency with practice management systems (PMS) and electronic health record (EHR) systems. o Ability to work independently and collaboratively in a team-oriented, high- volume environment. o Excellent organizational skills and attention to detail. o Proficiency in Microsoft Office Suite, especially Excel, for data analysis and reporting. What ProBill RCM Offers: Competitive salary and performance-based incentives. Opportunities for professional growth and skill development within a rapidly expanding company. A collaborative, supportive, and dynamic work environment. The chance to significantly impact the financial success of healthcare providers. To Apply: Interested candidates are invited to submit their resume and a brief cover letter outlining their relevant experience and why they are a good fit for this role to hr@probillrcm.com Job Type: Full-time Benefits: Health insurance Leave encashment Paid sick time Paid time off Schedule: Day shift Monday to Friday Rotational shift Work Location: In person Speak with the employer +91 7717290606
Job Title: Charge Analyst/Sr. Charge Analyst Department: Charge Entry Reports To: Charge Entry Team Lead / Manager Location: Chandigarh, India Company Overview: ProBill RCM ProBill RCM is a dynamic and growing medical billing and revenue cycle management (RCM) company dedicated to optimizing financial performance for healthcare providers across various-specialties. We leverage advanced technology and a team of meticulous experts to deliver-accurate, compliant, and efficient billing solutions, ensuring our clients achieve maximum reimbursement and operational efficiency. We pride ourselves on our attention to detail,commitment to client success, and a collaborative work environment. Position Summary: The Charge Analyst is a vital member of ProBill RCM's Revenue Cycle Management team,primarily responsible for the accurate and timely entry of patient charges into our billing systems. This role requires meticulous attention to detail, a strong understanding of medical coding, excellent data entry skills, and the crucial ability to verify patient eligibility and benefits prior to charge entry to minimize denials and optimize revenue capture. Key Responsibilities: Eligibility & Benefit Verification (Pre-Charge Entry): o Proactively verify patient insurance eligibility and benefits for scheduled services before charges are keyed, identifying any discrepancies or issues that could lead to denials. o Confirm patient demographic and insurance information is accurately recorded in the billing system. Accurate Charge Entry : o Review and meticulously analyze medical documentation (e.g., encounter forms, super bills, operative reports, physician notes) to ensure complete and accurate capture of all services rendered. o Assign appropriate CPT, HCPCS, and ICD-10 codes based on clinical documentation, payer guidelines, and established coding principles. o Accurately input charges, dates of service, rendering provider details, and other relevant billing information into the practice management/billing software within defined daily productivity and accuracy targets. o Apply correct modifiers to CPT codes as required by payer policies and specific service circumstances to ensure compliant billing. Quality Assurance & Compliance: o Perform daily pre-submission audits and quality checks on entered charges to identify and correct any potential errors or discrepancies before claims are submitted. o Ensure all charge entry processes comply with federal, state, and payer-specific coding and billing regulations (e.g., HIPAA, OIG guidelines, NCCI edits). o Identify and report any recurring documentation or coding issues that may lead to claim denials. Issue Resolution & Communication: o Identify discrepancies, missing documentation, or unclear information and communicate effectively with providers, clinical staff, or client representatives for timely clarification and resolution. o Collaborate closely with other RCM team members (e.g., Accounts Receivable, Denial Management, Payment Posting) to resolve billing issues related to charge capture and ensure a seamless revenue cycle. Performance Metrics: o Consistently meet or exceed established daily/weekly productivity goals and maintain a high standard of accuracy. Qualifications: Education: o High School Diploma or equivalent required. o Associate's or Bachelor's degree in Healthcare Administration, Medical Billing &Coding, or a related field is a plus. Experience: o 1-3 years of direct experience in medical charge entry, medical coding, or eligibility verification within a medical billing or RCM environment. o Prior experience with Physical Therapy (PT) or other specialty-specific billing is highly advantageous. Skills & Knowledge: o Proficient knowledge of medical terminology, CPT, ICD-10-CM, and HCPCS Level II coding systems, including strong modifier knowledge. o Typing speed of 35-40 Words Per Minute (WPM) with high accuracy. o Experience with various practice management and electronic health record (EHR) systems. o Exceptional attention to detail and a high level of accuracy. o Strong analytical and problem-solving abilities to identify and resolve coding and charge entry issues. o Ability to work independently, manage time effectively, and prioritize tasks in a fast-paced, high-volume environment. o Proficiency in Microsoft Office Suite, particularly Excel. What ProBill RCM Offers: Competitive salary and performance-based incentives. Opportunities for professional growth and skill development within a rapidly expanding company. A collaborative, supportive, and dynamic work environment. The chance to significantly impact the financial success of healthcare providers. To Apply: Interested candidates are invited to submit their resume and a brief cover letter outlining their relevant experience and why they are a good fit for this role to hr@probillrcm.com Job Type: Full-time Benefits: Health insurance Leave encashment Paid sick time Paid time off Schedule: Monday to Friday Rotational shift Work Location: In person