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Payment Posting – Roles & Responsibilities 1. Payment Entry & Posting Accurately post payments received from insurance companies (ERAs – Electronic Remittance Advice) and patient payments. Ensure correct allocation of payments to corresponding patient accounts and claims. Handle both electronic (ERA) and manual (EOB – Explanation of Benefits) postings. 2. Reconciliation Reconcile posted payments with bank deposits and batch totals. Identify and resolve discrepancies between received payments and expected amounts. 3. Denial & Adjustment Posting Post contractual adjustments, write-offs, and denials as per payer guidelines. Apply appropriate adjustment codes (CARC/RARC). Flag accounts with underpayments or denials for follow-up. 4. Accuracy & Quality Control Maintain high accuracy levels while posting payments. Perform quality checks to ensure data integrity and compliance with client requirements. 5. Exception Handling Identify and escalate mismatched payments, missing EOBs, or unidentified payments. Work on zero-payments and partial payments requiring investigation. 6. Daily Reporting Maintain productivity and accuracy reports. Share daily/weekly updates on completed batches, pending items, and issues. 7. Coordination Collaborate with AR (Accounts Receivable), billing, and coding teams for issue resolution. Communicate with supervisors or clients for clarification on complex cases. 8. System & Process Compliance Follow HIPAA guidelines and maintain patient data confidentiality. Adhere to standard operating procedures (SOPs) and client-specific workflows. 9. Productivity Targets Meet daily/weekly targets for number of transactions posted. Ensure turnaround time (TAT) is maintained as per SLAs. 10. Continuous Improvement   Suggest process improvements to enhance efficiency and reduce errors. Participate in training sessions and updates on payer rules.

Candidate Profile – Payment Posting 1. Educational Qualification Any graduate (preferred: Life Sciences, Commerce, or Healthcare-related fields) Certification in Medical Billing/RCM is an added advantage 2. Experience 0–1 year: Fresher with basic RCM knowledge (can be trained) 1–3 years: Hands-on experience in payment posting (ERA/EOB) Experience with US healthcare processes is mandatory for experienced roles 3. Core Skills Required a. Technical Skills Good understanding of: ERA (835 files) and EOB interpretation Insurance payment posting workflows Adjustment codes (CARC & RARC) Familiarity with billing software / practice management systems Basic knowledge of MS Excel (filters, sorting, basic formulas) b. Domain Knowledge Understanding of US healthcare payers (Medicare, Medicaid, Commercial) Knowledge of CPT, ICD, and basic claim lifecycle Awareness of denial codes and posting logic c. Analytical Skills Ability to identify underpayments, overpayments, and mismatches Strong attention to detail and accuracy Problem-solving approach for exceptions and unidentified payments 4. Key Competencies High level of accuracy and speed Good numerical and reconciliation skills Ability to work with high-volume transactions Strong time management and ability to meet SLAs/TAT Team player with good coordination skills 5. Communication Skills Basic written and verbal communication Ability to understand client instructions and SOPs Capability to escalate issues clearly and concisely 6. Compliance & Behavioral Skills Understanding of HIPAA compliance (for experienced candidates) Ability to handle confidential patient and financial data Discipline in following process guidelines   7. Typical KPIs for Evaluation Posting accuracy (%) Productivity (transactions per day) Error rate TAT adherence Reconciliation accuracy 8. Ideal Candidate Summary   A detail-oriented professional with hands-on experience in payment posting, capable of handling high-volume transactions with accuracy, identifying discrepancies, and ensuring proper reconciliation while adhering to US healthcare compliance standards.

• Excellent working atmosphere
• Salary and bonus always paid on-time
• You work for a company that has continuously grown for past 19+ years
• Very supportive senior management
• And lots more