Payment Posting Associate
- First Insight Software
- 1 - 6 years
- Mumbai
- 15 hours ago
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Job Description
Job Profile: Payment Posting
Location: Pune, Mumbai (Work from Office)
Company Profile: First Insight is a software product development and revenue cycle management company based in Portland, Oregon (USA). It has its India development and service delivery center in Pune and is soon to set up centers in Mumbai and Nagpur. Its expertise and domain lies in healthcare and insurance. It's a forward thinking, visionary company that provides high quality software solutions, services, support and training to nearly a thousand optometric and ophthalmic practices in the United States. It has carved a niche in the healthcare industry with its practice management and electronic health records software, support, e-commerce solutions and revenue cycle management services. To know more about First Insight, please visit @ www.firstinsight.com.
We are hiring Payment Posting for our facility in Pune and Mumbai.
The Payment Posters have to work from office upon joining.
The details are as under:
Job Description and Essentials:
- Responsible for making charge posting, payment posting, denial management, claims rejections, eligibility verification for members.
- Ensure that the quality and production meet Industry Standards.
- Daily review and follow up on outstanding claims on aging. Monthly billing of claims and responsible to handle the month end close for facilities.
- Should have knowledge of the entire Revenue Cycle Management (RCM)
- Sound knowledge of U.S. Healthcare Domain (Provider side) methods for improvement on the same
- Constantly keep track of both electronic and paper claims.
- Review provider claims that have not been paid by insurance companies
- Responsible to review any major rejections or denials from clearing houses/Carriers.
- Responsible to keep a track for payments and EOBs from major Carriers, pay-to-Address, Provider Numbers etc.
- Receives and reviews Explanation of Benefits (EOB)/ Electronic Remittance Advice (ERA)documents, matches with Electronic Funds Transfers (EFTs)/ other deposits.
- Captures all transaction information, updates appropriate accounts.
- Compiles list of denied claims, transmits to denial management team for follow up.
- Compiles list of pending and share to the leads on end of the day.
- Reviews updates to Fee Schedules and Allowed Amounts for all applicable payers and ensures that provider s contracts remain current and accurate.
- Post the patient payments to appropriate account.
- Track the manual checks and work with leads to convert them to EFT and ERA.
- Consistently exhibits behavior and communication skills that demonstrate company core values and commitment to quality and customer service.
- Fulfills all compliance responsibilities related to the position, handles all protected health information in a manner consistent with Health Insurance Portability and Accountability Act (HIPAA) regulation Must be available for special projects.
Qualifying Criteria:
- At least 1+ yrs of experience in payment posting in US Healthcare (End to End RCM Process).
- Ability to multi-task.
- Good organization skills demonstrating the ability to execute timely follow-ups.
- Willingness to be a team player and show initiative where needed.
- Excellent Oral and Written Communication skills
Salary: Remuneration will be at par with the best industry standards; will not be a constraint for the right candidate.
Share your updated CV directly to H.R - Shubham More - 8169845***
Job Classification
Industry: Analytics / KPO / ResearchFunctional Area / Department: OtherRole Category: OtherRole: OtherEmployement Type: Full timeContact Details:
Company: First InsightLocation(s): Mumbai
Keyskills: US Healthcare Revenue Cycle Management Cash Posting Payment Posting Denials Medical Billing RCM
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First Insight Software
First Insight is a product based software development company based in Portland, Oregon (USA). Our expertise and domain lies in 'Health care' and 'Insurance'. We are a forward thinking, visionary company that provides high-quality software solutions, support, and training to nearly 1,200 ophthalmic ...
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