Transaction Processing Executive

Key Responsibilities:

• Receive and review Electronic Remittance Advices (ERAs) and paper Explanation of Benefits (EOBs) from insurance payers.
• Accurately post insurance payments, patient payments, adjustments, and denials into the Practice Management System.
• Reconcile payments received against billed charges to ensure accuracy and completeness.
• Investigate and resolve payment discrepancies, posting errors, and unmatched transactions.
• Process patient payments received through cash, checks, credit cards, and electronic payment methods.
• Ensure compliance with HIPAA regulations, payer guidelines, and industry billing standards.
• Generate and maintain payment posting reports, reconciliation summaries, and productivity reports.
• Collaborate with Billing, Coding, Accounts Receivable (AR), and Revenue Cycle Management teams to improve workflow efficiency.
• Follow up on unallocated payments posted under Miscellaneous, Suspense, or Unapplied accounts by coordinating with clients, reviewing payer portals, or working with the AR team for resolution.
• Coordinate with the AR team regarding uncashed payments identified through ERA remittances and ensure timely resolution.
• Maintain accurate documentation of payment-related activities and follow organizational policies and procedures.

Required Qualifications:

• Bachelor's Degree in any discipline.
• Strong attention to detail with the ability to identify and reconcile payment discrepancies.
• Good organizational and time management skills with the ability to handle multiple priorities in a fast-paced environment.

Experience:

• Min 2+ years of experience in Payment Posting are preferred.
• Knowledge of healthcare insurance processes, EOBs, and ERAs.
• Familiarity with Practice Management Systems and payment posting workflows.
• Proficiency in Microsoft Excel and reporting tools.

Benefits:

• Corporate Meal Benefit
• IJP advantages
• Mediclaim Insurance
• PF & ESI Benefit
• Fixed Day Shift (9am - 6pm)
• Saturday & Sunday Fixed Week-off