About this role
Exp: 1 to 3 Years
Process: Payment Posting and Charge Entry
Job Purpose:
This position should be responsible for entering of payments by careful review of source data provided by Client/Clearing house.
Key Responsibilities:
Posting daily payments received both electronically and manually.
Payments must be posted within TAT hours of the received date.
Follow client updates based on the SOP’s
Payment status (received and completed) must be circulated to the Team leads and Manager.
Achieve KPI targets with 98% accuracy in quality and 100% in productivity.
Daily Routine:
Participate in the daily huddle to discuss the routine tasks.
Check emails and BR connect tickets, and respond to the relevant team.
Download ERAs and scan files.
File confirmation needs to be sent to the client office.
Post ERAs and scan files within the specified TAT (ERAs – 8 hours, Manual – 16 hours).
Update Medicare floor details daily.
Share the EOD (End of Day) payment status with the Team Leader.
Update production count in BR Connect for KPIs.
Prioritize posting of patient payments and send correspondence notifications to the client.
Check BR ticket status daily.
Weekly Routine:
Payment reconciliation.
Review online source payments.
Consolidate the ERA/EFT payer information log for any payments received through scans and inform the Team Leads.
Monthly Routine:
Reconcile payments between the clearing house and the system.
Perform payment and write-off reconciliation for the current month.
Plan the completion of month-end payments and denials based on the volume received.
Skills and Competencies:
Basic technical skills in computer (Word & Excel)
Good written and verbal communication skills
Ability to accurately reconcile payments, identifying and resolving discrepancies effectively.
Handling Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs) processing correctly.
Competency to understanding and using Practice Management Systems for posting payments, adjusting, and reconciling.
Qualifications:
Any Degree and above.
2+ years’ experience in payment posting process.
Good listening skill
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