Senior Process Executive (JOB ID: 092026-62042)

Velan

Coimbatore District

On-site

INR 420,000 - 700,000

Full time

11 days ago
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Benefits offered by this job

Excellent working atmosphere
On-time salary/bonus
Growth withVelan’s 19+ years

Job summary

Velan in India seeks a Senior Process Executive with 2+ years in payment posting to manage complex payment transactions and reconcilations. The role requires analyzing EOB/ERA details, posting payments accurately, handling denials, and ensuring HIPAA compliance.

You will mentor juniors and contribute to process improvements while meeting quality targets. The incumbent will support client guidelines, perform daily reconciliations, and resolve unapplied payments to ensure accurate accounts.

Qualifications

  • Experience in payment posting workflows.
  • Ability to analyze EOBs/ERAs and identify variances.
  • Knowledge of denials and reconciliations in healthcare payments.

Responsibilities

  • Advanced Payment Posting: post insurance and patient payments from EOBs/ERAs, EFTs, checks and other sources.
  • Analyze EOBs/ERAs to identify variances and missing adjustments; ensure postings are accurate.
  • Identify complex denial patterns and route to AR/Denials teams with SOP awareness.
  • Perform daily and batch-level reconciliation of payments to balance accounts.
  • Review credit balances and refunds; escalate as needed for processing.
  • Research unapplied/unidentified payments and resolve with trackers and timelines.
  • Conduct self-audits, peer reviews, and mentor junior teammates.
  • Support team with training, knowledge sharing, and issue escalation.
  • Follow client SOPs, HIPAA, data security, and process requirements.
  • Maintain productivity and quality targets; assist in month-end periods.

Skills

Payment Posting
Cash Posting
EOB/ERA Processing
AR
Denials
Payment Reconciliation

Job description

Elevate your career with Velan: A place where talent is nurtured, and success is a shared journey

Senior Process Executive

(JOB ID: 092026-62042)

Stong back ground in Payment Posting with Analytical Skills

Position Title: Senior Process Executive

Experience: 2+ Years

Posted On: 11-09-2026

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Roles and Responsibilities:

1. Advanced Payment Posting

  • Process and post insurance and patient payments accurately from EOBs, ERAs, EFTs, checks, and other payment sources.
  • Handle complex payment scenarios, including multiple claims, split payments, recoupments, takebacks, refunds, and credit balances.
  • Ensure payments, contractual adjustments, patient responsibility, and balance transfers are accurately posted.
  • Follow client-specific payment posting guidelines and contractual rules.

2. EOB / ERA Analysis

  • Perform detailed review of EOBs and ERAs.
  • Analyze payment variances and identify incorrect or missing contractual adjustments.
  • Identify underpayments, overpayments, zero-pay claims, incorrect patient responsibility, and payer discrepancies.
  • Validate that the claim-level and service-line-level amounts reconcile with the remittance.

3. Denial & Exception Identification

  • Identify complex denial and rejection patterns during payment posting.
  • Categorize denials and route them to the appropriate AR/Denials team.
  • Identify recurring payer issues and escalate trends to the Team Lead/Manager.
  • Review unusual transactions and determine the appropriate next action based on SOP.

4. Payment Reconciliation

  • Perform daily and batch-level reconciliation of payments.
  • Reconcile EOB/ERA → payment batch → system posting → account balance.
  • Identify missing, duplicate, incorrect, or unidentified payments.
  • Investigate discrepancies and coordinate with the appropriate internal/client team for resolution.

5. Credit Balance & Refund Review

  • Identify credit balances and potential overpayments.
  • Review refund-related transactions according to client guidelines.
  • Escalate accounts requiring refund or recoupment processing.
  • Ensure credit balances are properly documented and tracked.

6. Unapplied / Unidentified Payments

  • Research and resolve unapplied or unidentified payments.
  • Use available remittance, patient, claim, payer, and account information to identify the correct account.
  • Maintain an appropriate tracker for unresolved payments and follow up within the required TAT.

7. Quality Control

  • Perform self-audits and peer reviews when assigned.
  • Review junior team members' transactions for accuracy.
  • Identify recurring errors and provide corrective feedback.
  • Support the team in maintaining required quality and accuracy benchmarks.

8. Team Support & Mentoring

  • Guide Junior Payment Posters on complex transactions and EOB/ERA interpretation.
  • Conduct knowledge-sharing sessions and process refreshers.
  • Support new-hire training and nesting activities.
  • Act as the first point of escalation for process-related questions.

9. Client & Process Compliance

  • Follow client-specific SOPs, payer guidelines, and workflow requirements.
  • Maintain compliance with HIPAA, data security, and organizational policies.
  • Communicate process issues and recurring challenges to the Team Lead/Manager.
  • Participate in process improvement initiatives.

10. Productivity & Performance

  • Consistently meet or exceed assigned productivity and quality targets.
  • Manage daily workloads according to TAT and priority requirements.
  • Support the team during month-end and high-volume periods.
  • Minimize rework, posting errors, and unresolved exceptions.
Candidate Profile:

Preferred background:

  • Payment Posting
  • Cash Posting
  • EOB/ERA Processing
  • AR
  • Denials
  • Payment Reconciliation

The ideal senior candidate should be able to work independently on complex payment transactions, identify posting discrepancies, reconcile payments, resolve unapplied payments, analyze EOB/ERA information, and support junior team members without constant supervision.KPIMeasurementPosting Accuracy98–99%+Quality Score95%+ProductivityMeets/exceeds process benchmarkTAT Adherence100%Reconciliation Accuracy100%Unapplied Payment ResolutionWithin defined TATError/Rework RateMinimumEscalation HandlingTimely & accurateTeam SupportTraining/coaching/issue resolution

Why Should You Join Velan?
  • Excellent working atmosphere
  • Salary and bonus always paid on-time
  • You work for a company that has continuously grown for past 19+ years
  • Very supportive senior management
  • And lots more
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