Job Title: Revenue Cycle Management (RCM) Executive – Payment Posting and Charge Entry
Job Summary:
The RCM Executive for Payment Posting and Charge Entry plays a crucial role in the revenue cycle by ensuring that all charges are entered accurately, and payments are posted correctly. This position is responsible for managing day-to-day payment and charge entry tasks, verifying financial information, and addressing discrepancies. The role requires close attention to detail and a strong understanding of healthcare billing processes to maintain the integrity of financial transactions and enhance revenue cycle efficiency.
Key Responsibilities:
- Payment Posting:
- Post all patient and insurance payments accurately and promptly into the billing system.
- Reconcile payment batches daily, identifying and addressing any discrepancies.
- Post adjustments and denials, ensuring proper categorization and notation for further review if necessary.
- Collaborate with other departments to resolve payment-related inquiries and discrepancies.
- Charge Entry:
- Enter all charges into the billing system based on documented procedures and medical coding guidelines, ensuring accuracy and compliance with payer requirements.
- Verify all charges against supporting documentation and communicate with providers or billing staff to resolve any inconsistencies.
- Ensure timely charge entry to maintain efficient billing cycles and prevent delays in claims submission.
- Quality Assurance:
- Conduct regular audits of payment posting and charge entry transactions to identify and correct errors.
- Maintain and update policies and procedures related to payment posting and charge entry, ensuring compliance with company standards and regulatory requirements.
- Identify trends in charge entry or payment posting issues and suggest corrective actions or process improvements.
- Collaboration and Communication:
- Work closely with the billing, coding, and accounts receivable teams to ensure consistency and accuracy in the revenue cycle.
- Communicate effectively with internal stakeholders to resolve issues related to charges, payments, or denials.
- Reporting and Documentation:
- Prepare and maintain reports on payment posting and charge entry activities, providing insights into trends, discrepancies, or areas for improvement.
- Document all activities clearly, ensuring accurate records are maintained for compliance and auditing purposes.
Qualifications:
- Education: Bachelor’s degree in finance, Accounting, Healthcare Administration, or a related field preferred; relevant experience may substitute for formal education.
- Experience: Minimum of 2-3 years of experience in payment posting, charge entry, or related functions within healthcare revenue cycle management.
- Software’s: Proficiency in billing software NextGen, eCW, HCHB, and electronic health record (EHR) systems.
- Skills: Microsoft Office (Excel, Word). Knowledge of medical billing codes (CPT, ICD-10) is an advantage.
- Attention to Detail: Strong accuracy and attention to detail to ensure proper charge entry and payment posting, minimizing errors and discrepancies.
- Problem-Solving Skills: Ability to identify and resolve discrepancies effectively and efficiently.
Preferred Qualifications:
- Certification in healthcare billing or revenue cycle management (e.g., AAPC or HFMA certification).
- Familiarity with payer requirements, insurance billing processes, and regulatory guidelines in the healthcare industry.
Contact Details :
Rakesh M V - 9606018324 / [email protected]
Job Type: Full-time
Pay: Up to ₹450,000.00 per year
Benefits:
- Health insurance
- Provident Fund
Experience:
- Payment Posting: 2 years (Preferred)
Work Location: In person