RCMS Posting Associate I

Qualifacts Systems Inc.; Vadodara; On-site; INR 240,000 - 360,000; Full time

Job summary

Qualifacts Systems Inc. in Vadodara is seeking a Payment Posting Associate I for the night shift. You will post insurance and patient payments, interpret EOBs, and ensure accurate reconciliation within our Revenue Cycle Management team.

The role requires strict HIPAA compliance, attention to detail, and the ability to work both independently and with colleagues to meet deadlines. Training and development opportunities are available.

Qualifications

• High school diploma or equivalent; associate or bachelor's degree in healthcare administration, Commerce/Arts or related field preferred.
• Minimum of 0 to 1 years of experience in medical billing or revenue cycle management, with a focus on payment posting.
• Strong attention to detail and accuracy in data entry and payment reconciliation.
• Knowledge of medical billing software and electronic health record (EHR) systems.
• Familiarity with insurance EOBs and payment reconciliation processes.
• Understanding of HIPAA regulations and patient privacy requirements.
• Excellent communication and interpersonal skills.
• Ability to work independently and collaboratively in a fast-paced environment.
• Commitment to meeting deadlines and achieving departmental goals

Responsibilities

• Accurate Payment Posting: post all insurance and patient payments by line item using medical claim billing software.
• Meeting Payment Posting Deadlines: post payments timely to reconcile accounts receivable.
• Interpretation of EOBs: read and interpret insurance EOBs to reconcile payments, denials, and adjustments.
• Attendance at Staff Meetings and Educational Sessions: attend monthly meetings and ongoing sessions.
• Additional Duties as Requested: perform duties to support departmental objectives.
• Training and solving queries: help the team reach goals and ensure posting accuracy.
• HIPAA Compliance: follow HIPAA guidelines and maintain patient confidentiality.
• Data Security and Integrity: protect sensitive information and comply with regulatory requirements.
• Revenue Cycle Performance Analysis: monitor performance through accurate posting and data analysis.
• Policies and Procedures Development: develop policies for write-offs and adjustments.

Skills

Attention to detail

Data entry accuracy

Communication skills

Independence and collaboration

HIPAA knowledge

Education

Healthcare Administration

Commerce/Arts or related field

Tools

Medical billing software

EHR systems

Job description

Job Description:

Qualifacts is a leading provider of behavioral health software and SaaS solutions for clinical productivity, compliance and state reporting, billing, and business intelligence. Its mission is to be an innovative and trusted technology and end-to-end solutions partner, enabling exceptional outcomes for its customers and those they serve. Qualifacts’ comprehensive portfolio, including the CareLogic®, Credible™, and InSync® platforms, spans and serves the entire behavioral health, rehabilitative, and human services market supporting non-profit Certified Community Behavioral Health Clinics (CCBHC) as well as for-profit large enterprise and small business providers.Qualifacts has a loyal customer base, with more than 2,500 customers representing 75,000 providers serving more than 6 million patients. Qualifacts was recognized in the 2022 and 2023 Best in KLAS: Software and Services report as having the top ranked Behavioral Health EHR solutions.

As one of the largest EHR companies in the country, Qualifacts offers revolutionary support for behavioral health, human services, and rehabilitative services. The technology and solutions that we provide enhance how our customers deliver quality care, make it possible for them to achieve exceptional outcomes, and improve the lives of the individuals they serve. We draw upon 20 years of experience to inform our products and services, and the result is solutions that empower our customers to achieve interoperability goals, optimize efficiency, improve productivity, and maximize reimbursement.

Qualifacts supports three platforms: CareLogic, Credible, and InSync. The EHR platforms, each uniquely positioned, allow us to serve all segment sizes within the market.

This is an onsite position, 5 days/week, in the Vadodara office working the NIGHT SHIFT. Hours are 6:30pm-3:30am IST. Remote applicants will not be considered.

Overview:

As a Payment Posting Associate I within our Revenue Cycle Management (RCM) team, you will play a vital role in managing the team and keeping a tab on the ongoing overall posting process. You will have to attend the client call, staff meetings and educational sessions, and follow HIPAA guidelines. Your attention to detail and commitment to maintaining data integrity will contribute to optimizing our revenue cycle performance and ensuring accurate financial reporting.

Key Responsibilities:

1. Accurate Payment Posting:
   • Accurately post all insurance and patient payments by line item using medical claim billing software.
2. Meeting Payment Posting Deadlines:
   • Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable.
3. Interpretation of Explanation of Benefits (EOBs):
   • Read and interpret insurance EOBs to reconcile payments, denials, and adjustments for accurate posting.
4. Attendance at Staff Meetings and Educational Sessions:
   • Regularly attend monthly staff meetings and participate in continuing educational sessions to stay informed about industry updates and best practices.
5. Additional Duties as Requested:
   • Perform additional duties as requested by the supervisory or management team to support departmental objectives.
6. Training and solving queries:
   • To help the team with their queries and concern, help the team to reach their goals and required accuracy while posting.
7. HIPAA Compliance:
   • Follow HIPAA guidelines and maintain patient confidentiality when handling sensitive information during payment posting processes.
8. Data Security and Integrity:
   • Maintain the security and integrity of practice data being worked on to protect sensitive information and comply with regulatory requirements.
9. Revenue Cycle Performance Analysis:
   • Obtain a clear view of revenue cycle performance through accurate payment posting and data analysis.
10. Policies and Procedures Development:
    • Develop exhaustive policies and procedures for write-offs and adjustments to ensure consistency and compliance in financial transactions.

Qualifications:

• High school diploma or equivalent; associate or bachelor's degree in healthcare administration, Commerce/Arts or related field preferred.

• Minimum of 0 to 1 years of experience in medical billing or revenue cycle management, with a focus on payment posting.

• Strong attention to detail and accuracy in data entry and payment reconciliation.

• Knowledge of medical billing software and electronic health record (EHR) systems.

• Familiarity with insurance EOBs and payment reconciliation processes.

• Understanding of HIPAA regulations and patient privacy requirements.

• Excellent communication and interpersonal skills.

• Ability to work independently and collaboratively in a fast-paced environment.

• Commitment to meeting deadlines and achieving departmental goals

Qualifacts is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.