Payment Posters( medical Billing)-US Healthcare

Total RCM Solutions

  • Bangalore, Karnataka
  • Rs. 4,50,000 per year
  • Permanent
  • Full-time
  • 1 month ago
Hello all,We are looking out for dedicated payment posters in medical billing in US healthcare, specifically who are experienced in Next Gen software.The Medical Payment Posting & Reconciliation Specialist will manage accounts receivable billing and collection of payments for all designated payers and designated locations in order to meet and maintain goals. He/She will monitor A/R aging, accessing the accounts for further attention by involving the A/R; collect balances to ensure statements are processed and paid promptly. He/she will also manage and reconcile all payments; make sure it is posted into the patients account with the correct amount and adjustment.Post all personal, insurance and liability payments from Remittance and EOBs toappropriate accounts with minimum errors;Apply manual payments and auto payments to accounts for payor types of Medicare,Medicaid and Commercial Insurances;Analyze EOB information, including co-pays, deductible, co-insurance, contractualadjustments, denials and more to very accuracy of patient balances;Scan all EOBs into system and creates hardcopy file for original EOB's by day;Add appropriate ANSI denial codes and comments to assure all necessary appeals and postpayment follow up can take place;Investigate the source of unidentified payment to ensure they are applied to appropriateaccounts. If necessary will contact the sender to clarify where the payment should be posted;Reconcile shortage on both paper and electronic EOBs to determine proper allowance andcorrect write off;Assist in updating the Direct Deposit Daily;Assist in performing comparison of downloaded files to the Direct Deposit and correct anydiscrepancies;Assist in setting up Electronic Remittance Advices (ERA) for Commercial and Medicarepayors;Assist in running and balancing credit cards daily;Send all batch reconciliation information to the Finance department;Assist in performing check deposits and assembling logs daily;Contact patients, insurance or third party administrators when clarification of information isneeded to successfully post payment;Handle telephone questions and concerns from customers; ensures complaints and inquiriesare recorded and reported to management;Report all Medicare credits quarterly to Medicare on appropriate form and supplies allsupporting documentation;Work on recoupment accounts to settle;Follow up with outstanding A/R all payers and/or including self-pay and/or includingresolution of denials;Read, analyze, and interpret common scientific or technical information, financial reportsand legal documents;Research inquiries in a professional and courteous manner and work with AccountsReceivable team members, to identify and resolve escalated customer concerns in a timelymanner, potentially without direct Supervisor oversight. Partner with Team Lead andSupervisor to develop solutions to repeat customer concerns;Act as point of contact for the team when Supervisor/Manager/Team Lead are unavailableMode of work would be: WFH and WFO

Expertia AI Technologies

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