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”
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”
💡 Quick Summary
Seeking a career-building opportunity? The Senior Executive position is now open for candidates interested in the MIS Executive sector. This role in Chennai offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in MIS Executive is a plus.