RCMS Posting Associate I

Qualifacts Systems Inc.; Vadodara; On-site; INR 300,000 - 420,000; Full time

Job summary

Qualifacts Systems Inc. is seeking a Payment Posting Associate II to join our Revenue Cycle Management (RCM) team. You will oversee the posting process, attend client calls and meetings, and ensure data integrity while following HIPAA guidelines.

In this role you will post payments by line item using medical billing software, interpret EOBs, and support the team to meet deadlines. Strong attention to detail, reliability, and the ability to work independently in a fast-paced environment are

Qualifications

• High school diploma or equivalent; degree preferred.
• 0–1 years in medical billing or revenue cycle management.
• Attention to detail and accuracy in data entry.
• Knowledge of medical billing software and EHR systems.
• Familiarity with insurance EOBs and payment reconciliation.
• Understanding of HIPAA regulations and patient privacy.
• Excellent communication and teamwork.
• Ability to meet deadlines in a fast-paced environment.

Responsibilities

• Post insurance and patient payments by line item using software.
• Meet deadlines for posting payments and reconcile AR.
• Read and interpret EOBs to reconcile payments, denials, adjustments.
• Attend monthly staff meetings and educational sessions.
• Perform additional duties as assigned by management.
• Assist team with queries and help achieve posting accuracy.
• Follow HIPAA guidelines and protect confidentiality.
• Maintain data security and integrity of practice data.
• Analyze revenue cycle performance through posting and data insights.
• Develop policies and procedures for write-offs and adjustments.

Skills

Attention to detail

Data entry

Payment reconciliation

Communication skills

Interpersonal skills

Independence

Team collaboration

HIPAA knowledge

Education

High school diploma or equivalent

Associate or Bachelor’s degree in healthcare administration, Commerce/Arts or related field

Tools

Medical billing software

EHR systems

Job description

Job Description

As a Payment Posting Associate II 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.

Overview

As a Payment Posting Associate II 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

• Accurate Payment Posting: Accurately post all insurance and patient payments by line item using medical claim billing software.
• Meeting Payment Posting Deadlines: Meet deadlines for posting payments to ensure timely reconciliation of accounts receivable.
• Interpretation of Explanation of Benefits (EOBs): Read and interpret insurance EOBs to reconcile payments, denials, and adjustments for accurate posting.
• 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.
• Additional Duties as Requested: Perform additional duties as requested by the supervisory or management team to support departmental objectives.
• 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.
• HIPAA Compliance: Follow HIPAA guidelines and maintain patient confidentiality when handling sensitive information during payment posting processes.
• Data Security and Integrity: Maintain the security and integrity of practice data being worked on to protect sensitive information and comply with regulatory requirements.
• Revenue Cycle Performance Analysis: Obtain a clear view of revenue cycle performance through accurate payment posting and data analysis.
• 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.