Payment Associate-3

Harris Global Business Services (GBS)


Date: 3 weeks ago
City: Mumbai, Maharashtra
Contract type: Full time
Primary Functions

Payment Processing & Posting

  • Accurately post payments received from insurance companies, government programs (such as Medicare/Medicaid), and patients into the Revenue Cycle Management (RCM) system.
  • Efficiently process Electronic Remittance Advices (ERAs) and manual Explanation of Benefits (EOBs).
  • Apply necessary adjustments, refunds, and write-offs in accordance with payer guidelines.
  • Balance and reconcile daily deposits with posted payments to ensure accuracy.

Denial Management & Reconciliation

  • Identify and accurately post insurance denials, ensuring timely follow-up for resolution.
  • Collaborate with the billing and accounts receivable teams to correct claim errors and facilitate claim resubmissions.
  • Track underpayments and escalate discrepancies to the RCM Manager for further action.

Reporting & Documentation

  • Maintain precise payment records and reconciliation reports.
  • Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies.
  • Ensure strict compliance with company policies and industry regulations, including HIPAA and Medicare guidelines.

Communication & Collaboration

  • Coordinate effectively with the billing team, accounts receivable, and insurance companies to resolve payment discrepancies.
  • Respond promptly to inquiries from internal teams regarding posted payments.
  • Escalate unresolved payment issues to the appropriate leadership as needed.

Additional Job Description

  • Any bachelor’s degree.
  • Good Communication Skills (Written and Verbal).
  • 1-3 years of proven experience in payment posting within a healthcare environment is essential
  • Strong understanding of healthcare revenue cycle management (RCM) processes.
  • Proficiency in interpreting Electronic Remittance Advices (ERAs) and Explanation of Benefits (EOBs) with healthcare-specific knowledge.
  • Experience with healthcare-specific RCM software (e.g., Epic, Cerner, NextGen, Athenahealth, Kareo, or similar).

Soft/Behavioral Skills

  • Problem-Solver: Identifies and resolves healthcare billing discrepancies.
  • Organized: Manages high volumes of medical remittances efficiently.
  • Clear Communicator: Effectively discusses payment issues with healthcare teams.
  • Analytical: Understands healthcare financial data and denial patterns.

Shift Timing: Day Shift (8am to 5pm IST)/ Work Mode: Work from Office-Mumbai

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