Job Description

Overview: Deliver Daily targets for payment posting transactions. (ERA & Manual EOB Posting) Qualifications: Graduation in any stream Experience: BPO Experience - 2-5 years US Healthcare Payment posting experience preferred. Communication Skill: Strong written (documentation) and oral communication skills Working Hours: 40 hours per week as Full-time employee Shift time: Day/Mid Shift Weekends Off Telecommuter/Internet requirements, if applicable: High Speed internet connection at home, must be broadband Must understand and adhere with telecommuter policy Skills and abilities: . Ensure Daily Productivity targets are met at the required quality level on the assigned inventory Perform accurate payment posting . Process all ERA & Manual EOB\'s and reconcile daily/monthly reports for review . Process payments in Practice Management System (PMS) as per instructions provided by the client. . Review and update the patient insurance information in the Practice Management System (PMS) . Good understanding of downloading the files from the FTP / document management system. . Strong in reviewing EOB\'S and trained in posting both Manual and ERA (835 Remits) . Should have knowledge to identify denial codes (RARC & CARC) with denial reason & Correspondence. . Should have knowledge in Patients payment posting, Offset and Refund, \'Small Balance Write Off\' . Should have knowledge in Recoupment and Over Payment/Under Payments, Sequestration and Interest payment/Penalty payments . Should have knowledge in Cross Over (Piggy Bag), Capitation Agreement Payments . Knowledge about Patient\'s Responsibility (Copay, Coinsurance & Deductible) . Knowledge about the Participating and Non-Participating Provider. . Good understanding on HSA and HRA payments, \'Worker\'s Comp\' and \'No Fault\'

foundit