Senior Process Executive

(JOB ID: 022025-00128)

Analytical Skills

Position Title: Senior Process Executive

Experience: 2+ Years

Posted On: 28-02-2025

Status : This position is closed

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Roles and Responsibilities:

Review and Analyze Payment Information

Post Payments to Patient Accounts

Reconcile Payments

Manage Denials and Underpayments

Processing and Handling Refunds

Key Skills and Competencies:

  • Attention to Detail: Critical for ensuring that payments are accurately posted to accounts.
  • Strong Analytical Skills: Ability to analyze EOBs and RAs to detect errors or discrepancies in payment.
  • Communication Skills: Clear communication with insurance companies, patients, and internal teams regarding payment issues and discrepancies.
  • Problem-Solving: Ability to investigate and resolve issues such as denials, underpayments, and payment posting errors.
  • Time Management: Managing high volumes of transactions and ensuring timely payment posting.

Candidate Profile:

Technical Skills:

  • Proficient in Payment Posting Software: Familiarity with electronic health records (EHR) and billing platforms such as Epic, Cerner, AthenaHealth, NextGen, or other relevant software.
  • Understanding of CPT/ICD-10 Codes: Knowledge of medical codes and how they affect billing and payment posting.
  • Ability to Reconcile Payments: Strong understanding of how to match payments from insurance companies or patients with billed charges.
  • Knowledge of Health Insurance Plans: Familiarity with payer-specific policies (e.g., Medicare, Medicaid, private insurance), co-pays, deductibles, and co-insurance.
  • Proficiency in Microsoft Office: Especially Excel for tracking payments, generating reports, and managing data.
  • HIPAA Compliance: Knowledge of healthcare privacy and security regulations (especially HIPAA) when handling patient and payment information.

Analytical & Problem-Solving Skills:

  • Strong Attention to Detail: Ability to spot discrepancies or errors in payment amounts, billing codes, or accounts.
  • Analytical Thinking: Capable of reviewing explanation of benefits (EOB) and remittance advices (RA) to understand complex payment issues and follow up as needed.
  • Denial Management: Experience with understanding and managing claim denials and underpayments. Ability to work with insurance companies to resolve discrepancies.
  • Reconciliation: Skilled in balancing accounts and identifying discrepancies between expected and actual payments.

Why Should You?

  • Excellent working atmosphere
  • Salary and bonus always paid on-time
  • You work for a company that has continuously grown for past 18+ years
  • Very supportive senior management
  • And lots more

Walk-in interview

Velan Info Services India Pvt. Ltd.

A1, Harsha Garden Masakalipalayam Road, Uppilipalayam Coimbatore - 641 015 INDIA

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