Billing Specialist Payment Posting Job in 4d Global

Billing Specialist Payment Posting

Location: Chennai
Department: Billing Operations
Career Band: Professional II

Role Overview: Financial Reconciliation & Accuracy

We are seeking a meticulous Billing Specialist to join our Payment Posting team. You will be responsible for the final stage of the billing cycle: ensuring that payments from insurance providers and patients are accurately reconciled. Your expertise in EOB review, Adjustment handling, and Denial Identification will be critical in maintaining a healthy accounts receivable.

Technical Skills & Core Competencies

Payment Processing:

• Manual & Auto Posting: Proficiency in managing high-volume payment entries, including electronic remittance and paper checks.
• Financial Formulas: Strong understanding of Co-pays, Co-insurance, and Deductibles.
• HSA/HRA Payments: Specific experience processing payments for Health Savings Accounts and Health Reimbursement Accounts.

EOB & Denial Analysis:

• Explanation of Benefits (EOB): Ability to interpret complex EOBs to ensure payments are posted to the correct patient accounts.
• Coding Identification: Expert knowledge of CARC (Claim Adjustment Reason Codes) and RARC (Remittance Advice Remark Codes).
• Write-offs & Adjustments: Handling complex adjustment scenarios, including secondary insurance offsets like Medicaid.

Key Responsibilities

• Account Reconciliation: Ensure all checks and electronic funds are posted to the correct patient accounts with 100% accuracy.
• Denial Documentation: Identify and document denial reasons and maintain clear records of insurance correspondence.
• Secondary Insurance Management: Process adjustments and write-offs specifically when a patient s secondary insurance is involved.
• Operational Quality: Maintain high standards of data entry speed and accuracy to meet daily financial closing targets.

Minimum Requirements

• Experience: Minimum 1 year of professional experience specifically in Healthcare Payment Posting.
• Education: Graduate in any stream.
• Technical Skills: Excellent typing speed and attention to detail.
• Reporting: Position reports to the Team Leader Billing Operations.