Senior Process Executive

(JOB ID: 082026-62037)

Payment Posting with Analyticals

Position Title: Senior Process Executive

Experience: 3+ Years

Posted On: 20-08-2026

Status : This position is closed

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Roles and 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
    Key Responsibilities

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 (Can be trainable)
    • 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

Why Should You Join Velan?

  • 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

Walk-in interview

Velan Info Services India Pvt. Ltd.

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

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