Payment Posting Executive

Location: [Hyderabad]
Experience: Minimum 2 years (in U.S. Medical Billing / Payment Posting)
Qualification: Graduate in Life Sciences / Commerce / Pharmacy / Nursing / Allied Health Sciences

Job Description:

We are seeking an experienced Medical Billing Payment Posting to join our healthcare revenue cycle management (RCM) team. The ideal candidate will have hands-on experience in posting insurance and patient payments, reconciling accounts, and ensuring accurate and timely processing of payments in line with U.S. healthcare standards.

Roles and Responsibilities:

• Post insurance (EOB/ERA) and patient payments accurately in the billing software.
• Reconcile daily deposits with payment batches and ensure zero unapplied payments.
• Identify and document denials, underpayments, and other payment discrepancies.
• Perform payment reconciliation for all payers and ensure reports are balanced.
• Work closely with the AR and denial management teams to resolve posting issues.
• Review payer remittance advice for accuracy and compliance with contractual adjustments.
• Ensure timely processing of daily payment batches as per client SLA and quality standards.
• Handle refunds, reversals, and re-posting activities as per process requirements.
• Maintain audit-ready documentation for all payment activities.
• Ensure adherence to HIPAA and data privacy guidelines at all times.
• Analyze payer trends and report recurring issues or discrepancies to the billing management team.
• Assist in preparing daily, weekly, and monthly payment posting and reconciliation reports.
• Support internal and external audits by providing required payment data and documentation.
• Collaborate with cross-functional teams (AR, Coding, and Denial Management) to streamline posting processes.
• Suggest process improvements to enhance efficiency and accuracy in payment posting operations.
  Ensure timely posting of secondary and tertiary insurance payments after primary payments are received.
• Review and post adjustments accurately as per payer contracts and company policies.
  Identify and escalate credit balances, overpayments, and refund requests to the appropriate team.
• Assist in training and mentoring new team members on payment posting procedures.
• Participate in daily or weekly team meetings to discuss performance, issues, and process updates.

Preferred Candidate Profile:

• Minimum 2 years of hands-on experience in U.S. medical billing and payment posting.
• In-depth understanding of EOBs, ERAs, patient payments, and payer remittances.
• Familiarity with billing systems like NextGen, eClinicalWorks, Kareo, Athena, or similar.
• Strong analytical and reconciliation skills.
• Excellent attention to detail and time management abilities.
• Good communication skills (written and verbal).
• Willingness to work in U.S. shift timings if required.

NOTE:

• Completely night shifts only
• Male candidates only
• Timings : 9:00 PM to 6:30 AM
• Monday to Friday working days