Senior Payment Poster (Revenue Cycle Management)

We are looking for an experienced Senior 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 3 years 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.

Interested candidates can either call or send their updated resumes via Whatsapp at 9289754401