01Overview
Job Title: Associate Payment Posting
Years of Experience: 1-2 years
Location: Hyderabad, Telangana
Mode of interview: In-person.
Mode of operation: Work from office
Shift Timings:9:00 a.m.6:00 p.m
Functional Expertise:
- Should be able to post ERAs and Manual posting, patient-cash, check payments.
- Should have solid understanding of medical billing terms, such as co-pays, coinsurances, deductibles allowable amount, contractual adjustments, out-of network and in-network processing, retractions/recoupments and Zero claims.
- Should be able to identify line item denials for non-covered services, inclusive services, credentialing, medical necessity, non-par, no-auth denials, COB Denials and associated denial reason codes.
- Medicare claims processing-sequestration, interest payment, reporting codes, Modifiers
- Should be able to understand Payer specific guidelines, process secondary and Tertiary claims and patient statements.
- Reconciliation and balancing the payment batches.
Operational Duties:
- Comply to daily productivity and Accuracy standards.
- Submit daily production reports to team lead.
- Stay in constant communication with team lead /operations manager
- Professional & behavior is expected
- Receive feedback from QA on errors and follow updated protocol.
Additional Comments
Preferably having experience with NG/eCW practice manager .
