Join Our Team

Key Responsibilities

1 Payment Entry

Post ERA (835) payments automatically or manually

Post manual EOB payments from paper or portal

Apply payments to: Charges / Adjustments / Patient responsibility

Verify payment accuracy vs allowed amount

2. Adjustment Posting

Post contractual adjustments per payer contract

Apply correct adjustment codes:

CO (Contractual) / PR (Patient Responsibility) / OA (Other Adjustments)

Ensure no over-adjustment or under-adjustment

3. Denial & Remark Code Capture

Record all denial codes (CARC / RARC)

Map denials correctly for denial team

Flag:Zero payments / Underpayments / Medical necessity denials / Authorization denials

4. Patient Payments

Post: Copay / Coinsurance / Deductible / Self-pay payments

Reconcile with:

Front desk collections

Patient portal payments

Lockbox / bank deposits

5. Credit Balance Identification

Identify overpayments

Flag refunds required

Transfer credits across DOS or accounts

Prevent negative A/R

6. Underpayment Identification

Compare:

Paid amount vs contract allowed

Flag:

Payer underpayment

Downcoding

Incorrect fee schedule

Bundling issues

7. Exception Handling

Escalate cases such as:

Mismatched patient

Missing claim

Unapplied cash

ERA without claim

Negative allowed

Payment Posting – Candidate Profile

1. Role Summary

Payment Posting Executive is responsible for accurate posting of insurance and patient payments, adjustments, and denial codes into the billing system to maintain correct A/R and support revenue cycle operations.

2. Educational Qualification

• Any degree (Commerce / Science preferred)
• Medical billing certification (preferred)
• RCM training (advantage)

3. Experience Requirement

5+ Years

• Complex EOB handling
• Reconciliation
• Underpayment identification
• Credit balance handling
• QA support

4. Core Technical Skills

Payment Knowledge

• ERA (835) posting
• EOB interpretation
• Allowed vs Paid vs Adjustment
• Contractual adjustments
• Secondary balance transfer

Codes Knowledge

• CARC / RARC
• CO / PR / OA groups
• Patient responsibility components
• Copay
• Coinsurance
• Deductible

RCM Understanding

• Claim lifecycle
• Coordination of benefits
• Payer sequence
• Denial impact on A/R

5. System Skills

• Practice Management (PM) software
• eClinicalWorks / Athena / Kareo / NextGen / etc.
• ERA auto-posting tools
• Excel basics
• Clearinghouse portal navigation

6. Analytical Skills

Candidate should be able to:

• Identify underpayments
• Detect posting errors
• Match EOB to claim
• Validate allowed amount
• Spot overpayments
• Flag denial patterns

7. Accuracy & Productivity Expectations

• Accuracy: ≥ 98%
• ERA lines: 1,500–3,000/day
• Manual EOB: 150–300/day
• Zero reconciliation variance
• Minimal unapplied cash

8. Behavioral Competencies

• Attention to detail
• Numerical accuracy
• Process discipline
• Consistency
• Accountability
• Time management

9. Advanced Competencies (Senior Poster)

• Reconciliation expertise
• Complex payer EOB interpretation
• Cross-DOS credit transfer
• Contract variance analysis
• Training juniors
• QA auditing

• 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