Job Description:
This is an onsite position, 5 days/week, in the Vadodara office.
Shift: -NIGHT/US SHIFT. 6:30pm-3:30am IST.
Remote applicants will not be considered.
Key Responsibilities:
1. Accurate Payment Posting:
- Accurately post all insurance and patient payments by line-item using medical claim billing software.
2. Meeting Payment Posting Deadlines:
- Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable.
3. Interpretation of Explanation of Benefits (EOBs):
- Read and interpret insurance EOBs to reconcile payments, denials, and adjustments for accurate posting.
4. Attendance at Staff Meetings and Educational Sessions:
- Regularly attend monthly staff meetings and participate in continuing educational sessions to stay informed about industry updates and best practices.
5. Additional Duties as Requested:
- Perform additional duties as requested by the supervisory or management team to support departmental objectives.
6.Training and solving queries:
- To help the team with their queries and concern, help the team to reach their goals and required accuracy while posting.
7. HIPAA Compliance:
- Follow HIPAA guidelines and maintain patient confidentiality when handling sensitive information during payment posting processes.
8. Data Security and Integrity:
- Maintain the security and integrity of practice data being worked on to protect sensitive information and comply with regulatory requirements.
9. Revenue Cycle Performance Analysis:
- Obtain a clear view of revenue cycle performance through accurate payment posting and data analysis.
10. Policies and Procedures Development:
- Develop exhaustive policies and procedures for write-offs and adjustments to ensure consistency and compliance in financial transactions.
Qualifications:
- High school diploma or equivalent; associate or bachelor’s degree in healthcare administration, Commerce/Arts or related field preferred.
- Minimum of 3 to 4 years of experience in medical billing or revenue cycle management, with a focus on payment posting.
- Strong attention to detail and accuracy in data entry and payment reconciliation.
- Knowledge of medical billing software and electronic health record (EHR) systems.
- Familiarity with insurance EOBs and payment reconciliation processes.
- Understanding of HIPAA regulations and patient privacy requirements.
- Excellent communication and interpersonal skills.
- Ability to work independently and collaboratively in a fast-paced environment.
- Commitment to meeting deadlines and achieving departmental goals
Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Skills Required
- High school diploma or equivalent
- Associate or Bachelor's degree in healthcare administration, Commerce/Arts or related field
- Minimum of 3 to 4 years experience in medical billing or revenue cycle management focused on payment posting
- Knowledge of medical billing software
- Knowledge of electronic health record (EHR) systems
- Familiarity with insurance Explanation of Benefits (EOBs) and payment reconciliation processes
- Understanding of HIPAA regulations and patient privacy requirements
- Strong attention to detail and accuracy in data entry
- Excellent communication and interpersonal skills
- Ability to work independently and collaboratively in a fast-paced environment
- Commitment to meeting deadlines and achieving departmental goals
- Availability to work onsite 5 days/week in Vadodara, night US shift (6:30pm-3:30am IST)
What We Do
Qualifacts' CareLogic Enterprise Software is a comprehensive Electronic Health Record (EHR) designed for behavioral health, mental health, & human services.
