Payment Associate-1

Business Unit:
Resolv was formed in 2022, bringing together a suite of industry-leading healthcare revenue cycle leaders with over 30 years of industry expertise, including Ultimate Billing, First Pacific Corporation, Innovative Healthcare Systems, and Innovative Medical Management. Our DNA is rooted in revenue cycle solutions. As we continue to expand, we remain dedicated to partnering with RCM companies that offer diverse solutions and address today's most pressing healthcare reimbursement and revenue cycle operations complexities. Together, we improve financial performance and patient experience, helping to build sustainable healthcare businesses.

Job Summary:

We're looking for a detail-oriented and efficient Payment Posting Associate to join our team. In this critical role, you'll be responsible for accurately posting payments, adjustments, and denials from various payers, including insurance companies, government agencies, and patients. You'll play a vital part in maintaining the financial integrity of our organization by reconciling deposits, identifying discrepancies, and collaborating closely with the billing team to resolve any payment-related issues.

Work Mode: Work from Office
Shift Timings: 8am to 5pm (Day Shift)
Location: Mumbai

What We Are Looking For:

Primary Functions:

Payment Processing & Posting

• Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system.

• Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs).

• Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines.

• Balance and reconcile daily deposits with posted payments to ensure accuracy.

Denial Management & Reconciliation

• Identify and accurately post insurance denials, ensuring timely follow-up for resolution.

• Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions.

• Track underpayments and escalate discrepancies to the RCM Manager for further action.

Reporting & Documentation

• Maintain precise payment records and reconciliation reports.

• Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies

• Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines

(Mandatory Qualifications & Skills)

• Any bachelor’s degree.

• Good Communication Skills (Written and Verbal).

• 1-3 years of proven experience in payment posting within a healthcare environment is essential

What Would Make You Stand Out:

(Preferred/Good-to-Have Skills)

• Strong understanding of healthcare revenue cycle management (RCM) processes.

• Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge.

•  Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar).

Soft Skills/Behavioural Skills:

• Problem-Solver: Identifies and resolves healthcare billing discrepancies.

• Organized: Manages high volumes of medical remittances efficiently.

• Clear Communicator: Effectively discusses payment issues with healthcare teams.

• Analytical: Understands healthcare financial data and denial patterns.

Benefits:

• Annual Public Holidays as applicable

• 30 days total leave per calendar year

• Mediclaim policy

• Lifestyle Rewards Program

• Group Term Life Insurance

• Gratuity

• ...and more!