Job summary:
The Payment Posting Associate is responsible for accurately and efficiently posting payments, adjustments, and denials from various payers, including insurance companies, government agencies, and patients. The role is critical in ensuring the financial integrity of the organization by reconciling deposits, identifying discrepancies, and collaborating with the billing team to resolve payment-related issues.
Primary Functions
1. Payment Processing & Posting
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Post payments from insurance companies, government programs (Medicare/Medicaid), and patients into the RCM system.
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Process Electronic Remittance Advices (ERA) and manual Explanation of Benefits (EOB).
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Apply necessary adjustments, refunds, and write-offs per payer guidelines.
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Balance and reconcile daily deposits with posted payments.
2. Denial Management & Reconciliation
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Identify and post insurance denials while ensuring timely follow-up for resolution.
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Work with the billing and accounts receivable teams to correct claim errors and resubmit claims.
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Track underpayments and escalate discrepancies to the RCM Manager.
3. Reporting & Documentation
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Maintain accurate payment records and reconciliation reports.
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Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies.
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Ensure compliance with company policies and industry regulations (HIPAA, Medicare guidelines).
4. Communication & Collaboration
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Coordinate with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies.
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Respond to inquiries from internal teams regarding posted payments.
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Escalate unresolved payment issues to the appropriate leadership.
Job Qualifications:
Minimum Qualifications:
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Bachelor’s degree in Accounting, Finance, Business Administration, or a related field (preferred).
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1-3 years of experience in medical billing, payment posting, or revenue cycle management.
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Experience working with RCM software (e.g., EPIC, eClinicalWorks, NextGen, Athenahealth, Kareo, or Cerner).
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Strong understanding of insurance reimbursement, medical billing, and denial management.
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Proficiency in MS Excel, accounting principles, and payment reconciliation.
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Knowledge of HIPAA regulations and compliance standards.
Behavioral Skills:
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Excellent attention to detail and analytical skills.
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Strong verbal and written communication skills.
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Ability to work independently and in a team environment
Shift Timings (IST): 8am to 5pm OR 2pm to 11pm
Work Mode: Initially Work from Office, with the possibility of a Hybrid setup later.
