Payment Posting Executive

PractoPulse Healthcare Services Private Limited; Hyderabad; On-site; INR 350,000 - 650,000; Full time

Job summary

PractoPulse Healthcare Services Private Limited in Hyderabad seeks an experienced Medical Billing Payment Posting specialist to join our healthcare revenue cycle management team. You will post insurance and patient payments, reconcile deposits, and ensure timely processing in line with U.S. Healthcare standards.

The role requires 2+ years in U.S. medical billing and payment posting, knowledge of EOBs/ERAs, and proficiency with NextGen, eClinicalWorks, Kareo or Athena.

Qualifications

• 2+ years of hands-on U.S. medical billing and payment posting experience.
• Graduate in Life Sciences, Commerce, Pharmacy, Nursing, or Allied Health Sciences.
• Knowledge of EOB/ERA, payer remittances, and HIPAA compliance.
• Proficiency with common billing systems (NextGen, eClinicalWorks, Kareo, Athena).
• Strong reconciliation and attention to detail.

Responsibilities

• Post insurance (EOB/ERA) and patient payments accurately in billing software.
• Reconcile daily deposits with payment batches to ensure zero unapplied payments.
• Identify and document denials, underpayments, and discrepancies.
• Prepare payment posting and reconciliation reports (daily/weekly/monthly).
• Ensure HIPAA and data privacy compliance; assist audits.
• Collaborate with AR, Coding, and Denial Management teams.

Skills

U.S. medical billing

payment posting

reconciliation

HIPAA compliance

Education

Graduate in Life Sciences / Commerce / Pharmacy / Nursing / Allied Health Sciences

Tools

NextGen

eClinicalWorks

Kareo

Athena

Job description

Location: [Hyderabad]
Experience: Minimum 2 years (in U.S. Medical Billing / Payment Posting)
Qualification: Graduate in Life Sciences / Commerce / Pharmacy / Nursing / Allied Health Sciences

Job Description

We are seeking an experienced Medical Billing Payment Posting to join our healthcare revenue cycle management (RCM) team. The ideal candidate will have hands-on experience in posting insurance and patient payments, reconciling accounts, and ensuring accurate and timely processing of payments in line with U.S. healthcare standards.

Roles and Responsibilities

• Post insurance (EOB/ERA) and patient payments accurately in the billing software.
• Reconcile daily deposits with payment batches and ensure zero unapplied payments.
• Identify and document denials, underpayments, and other payment discrepancies.
• Perform payment reconciliation for all payers and ensure reports are balanced.
• Work closely with the AR and denial management teams to resolve posting issues.
• Review payer remittance advice for accuracy and compliance with contractual adjustments.
• Ensure timely processing of daily payment batches as per client SLA and quality standards.
• Handle refunds, reversals, and re-posting activities as per process requirements.
• Maintain audit-ready documentation for all payment activities.
• Ensure adherence to HIPAA and data privacy guidelines at all times.
• Analyze payer trends and report recurring issues or discrepancies to the billing management team.
• Assist in preparing daily, weekly, and monthly payment posting and reconciliation reports.
• Support internal and external audits by providing required payment data and documentation.
• Collaborate with cross-functional teams (AR, Coding, and Denial Management) to streamline posting processes.
• Suggest process improvements to enhance efficiency and accuracy in payment posting operations.
  Ensure timely posting of secondary and tertiary insurance payments after primary payments are received.
• Review and post adjustments accurately as per payer contracts and company policies.
  Identify and escape credit balances, overpayments, and refund requests to the appropriate team.
• Assist in training and mentoring new team members on payment posting procedures.
• Participate in daily or weekly team meetings to discuss performance, issues, and process updates.

Preferred Candidate Profile

• Minimum 2 years of hands‑on experience in U.S. medical billing and payment posting.
• In‑depth understanding of EOBs, ERAs, patient payments, and payer remittances.
• Familiarity with billing systems like NextGen, eClinicalWorks, Kareo, Athena, or similar.
• Strong analytical and reconciliation skills.
• Excellent attention to detail and time management abilities.
• Good communication skills (written and verbal).
• Willingness to work in U.S. shift timings if required.

NOTE

• Completely night shifts only
• Male candidates only
• Timings : 9:00 PM to 6:30 AM
• Monday to Friday working days