RCM Payment Entry Specialist

Francisco Partners; Pune District; On-site; INR 300,000 - 500,000; Full time

Benefits offered by this job

Holidays

Vacation

Medical, dental, and vision insurance

Company-paid life insurance

Retirement savings

Job summary

Francisco Partners in Pune is seeking an experienced individual for a payment processing role. This position involves posting electronic/manual payments, reconciling payment batches, and ensuring an accuracy rate of over 99%.

The ideal candidate will have a strong background in payment processing and knowledge of regulations like HIPAA. The role offers various benefits, including medical and retirement savings options, and requires working on-site with designated shifts.

Qualifications

• Experience in electronic and manual payment processing.
• Strong ability to match payments to corresponding claims accurately.
• Understanding of payer contract terms and procedures.

Responsibilities

• Post ERA/EOB payments from various sources.
• Reconcile payment batches against bank deposits.
• Ensure accuracy of payment posting and maintain SLA.

Skills

Payment posting and reconciliation

Attention to detail

Knowledge of HIPAA and CMS policies

Job description

Work Location – Pune (Work from Office)

Shift timings – (7:30 PM – 4:30 AM) IST

Post ERA/EOB payments (electronic and manual) from commercial, government, and managed care payers, matching payments to corresponding claims accurately.

Apply contractual adjustments, co‑insurance, co‑pay, and deductible amounts per payer contract terms.

Post patient payments received via front desk collections, online portals, mail, lock‑box, and phone payments.

Process zero‑pay remittances, denial codes, and reason/remark codes, routing to appropriate AR follow‑up queues.

Reconcile daily payment batches against bank deposits and lock‑box reports, identifying and resolving variances same‑day.

Identify and flag credit balances and overpayments for refund processing. Handle payer recoupment notices, offset letters, and take‑back transactions.

Maintain posting turnaround within established SLA (typically ≤24 hours from receipt).

Ensure accuracy of payment posting at ≥99% accuracy rate with <1% dollar variance tolerance. Comply with HIPAA, CMS, and organizational financial policies in all posting activities.

Compensation for this job is subject to market conditions, geographic considerations, the candidate’s unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates’ unique contributions and support their professional growth.

Visa Sponsorship is not offered for this position.

Benefits

• Holidays
• Vacation
• Medical, dental, and vision insurance
• Company‑paid life insurance
• Retirement savings

From a VEVRAA Federal Contractor we request priority referral of protected veterans.

Veradigm’s policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.