Senior Executive - Payment Posting

3 - 7 years

0 Lacs

Posted:3 days ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

In this role, you will be responsible for identifying and addressing denied or rejected claims by investigating the reason for denial, correcting errors, and resubmitting claims as necessary. You will work closely with the billing and coding teams to ensure proper claim adjudication and identify any discrepancies, escalating issues to the appropriate personnel for resolution. Providing regular updates to the management team to facilitate financial analysis and decision-making will also be a key part of your responsibilities. Additionally, you will be expected to protect patient confidentiality and maintain the security of sensitive financial information. Key Responsibilities: - Investigate denied or rejected claims and take necessary actions for correction and resubmission - Collaborate with billing and coding teams for proper claim adjudication - Identify discrepancies and escalate issues for resolution - Provide regular updates to the management team for financial analysis - Maintain patient confidentiality and secure financial information Qualifications Required: - Good understanding of medical billing, coding, and reimbursement processes - Knowledge of medical terminology, CPT, HCPCS, and ICD coding systems - Proficiency in healthcare billing systems and EMR software - Strong attention to detail and accuracy - Excellent analytical and problem-solving skills - Effective communication and interpersonal skills - Ability to work independently and collaboratively in a team environment - Familiarity with HIPAA regulations and compliance requirements In this role, you will be responsible for identifying and addressing denied or rejected claims by investigating the reason for denial, correcting errors, and resubmitting claims as necessary. You will work closely with the billing and coding teams to ensure proper claim adjudication and identify any discrepancies, escalating issues to the appropriate personnel for resolution. Providing regular updates to the management team to facilitate financial analysis and decision-making will also be a key part of your responsibilities. Additionally, you will be expected to protect patient confidentiality and maintain the security of sensitive financial information. Key Responsibilities: - Investigate denied or rejected claims and take necessary actions for correction and resubmission - Collaborate with billing and coding teams for proper claim adjudication - Identify discrepancies and escalate issues for resolution - Provide regular updates to the management team for financial analysis - Maintain patient confidentiality and secure financial information Qualifications Required: - Good understanding of medical billing, coding, and reimbursement processes - Knowledge of medical terminology, CPT, HCPCS, and ICD coding systems - Proficiency in healthcare billing systems and EMR software - Strong attention to detail and accuracy - Excellent analytical and problem-solving skills - Effective communication and interpersonal skills - Ability to work independently and collaboratively in a team environment - Familiarity with HIPAA regulations and compliance requirements

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