RCM Associate
EMPClaimsPune, IN1 day ago
Job descriptionReview the Claim status & update accordingly via Calls Communicate effectively, via phone and email Evaluation of clinical documentation. Follow the Patient Claim Plans Excellent verbal & written communication & listening skills. Requires working knowledge of MS Office (Excel, Word) Good Understanding of the US accent Should be open for fixed night shift ( 06 : 00 PM to 03 : 00 AM) Payment Posting Analyst Accurately post and reconcile payments from insurance companies, patients, and government payers (ERA / EOB). Verify payment amounts, adjustments, and denials as per payer remitance advice. Enter payment data into the billing system and ensure timely, error-free posting. Review and analyze EOBs and ERAs to identify discrepancies, underpayments, or overpayments. Investigate and resolve payment discrepancies or posting errors promptly. Work with the denial management team to resolve claim denials and ensure accurate reimbursement. Perform daily and monthly reconciliations of posted payments with bank deposits. Generate and manage patient statements and ensure accurate account balances. Identify and report any irregularities or variances in cash reconciliation. Billing Analyst Prepare, review, and submit accurate medical claims to insurance companies electronically and manually. Monitor and follow up on unpaid or delayed claims within the standard billing cycle timeframe. Correct and re-submit rejected or denied claims after verifying and resolving issues with payers. Work with the coding team to ensure accurate CPT, ICD, and modifier usage before claim submission. Maintain detailed records of all billing and payment activities in the billing system. Identify billing errors, underpayments, or trends affecting reimbursement and escalate as needed. Stay current with payer guidelines, insurance policies, and updates in medical billing codes. Ensure strict adherence to HIPAA compliance and patient data confidentiality. Coordinate with AR, Payment Posting, and Credentialing teams for smooth end-to-end RCM flow. Meet or exceed productivity and accuracy targets as defined by management. Participate in process improvement initiatives to optimize claim turnaround and reduce denials.
About company
EMPClaims was recently recognized as a Top 10 vendor for RCM Services in the US, and we take pride in the quality of our services. Our customers include large health systems and small medical practices.
We offer you a competitive compensation package along with the opportunity to learn on the job, develop knowledge of the process, and grow your career.
- AR Analyst
Roles and Responsibilities
Required Qualifications & Skills :
The Payment Posting Analyst will be responsible for accurately posting and reconciling payments, adjustments, and denials received from various payers. The ideal candidate should have a strong understanding of ERA / EOB posting, payment reconciliation, and patient statement management.
Key Responsibilities
Job Description
We are seeking an experienced Medical Billing Associate with a strong understanding of end-to-end US healthcare billing processes. The role requires attention to detail, analytical skills, and a solid understanding of payer policies and claims management.
Key Responsibilities
Create a job alert for this search
Associate • Pune, IN
Related jobs
)
- Promoted
SAP RCM AND Onboarding
Syntaxpune, maharashtra, in Please feel free to reach me at “8143624070” once free.Syntax is a leader in providing Cloud and Managed Services to businesses across North America, South America, Europe, and the Pacific.Syntax o...Show moreLast updated: 14 days ago
- Promoted
Clinical Research Associate
HINDCO Consulting ServicesPune, Maharashtra, India Manage clinical trials and studies pertaining to biotechnological and pharmaceutical products, drugs and procedures.Conducts research to ensure these products are safe.
Ordering, tracking, and manag...Show moreLast updated: 16 days ago
- Promoted
- New!
Associate Consultant / Consultant - Research and Consulting Team
Axiencepune, maharashtra, in Axience is a professional business services firm, established with a credo of delivering “Integrated Bespoke Solutions” for our clients.
Our vision is to "Impact our clients, colleagues and communit...Show moreLast updated: 19 hours ago
- Promoted
Lead Manager
Chate Coaching ClassesChinchwad, Maharashtra, India Chate Coaching Classes is one of the leading names in the education sector, known for its commitment to quality teaching and student success.
We focus on building strong academic foundations while p...Show moreLast updated: 11 days ago
- Promoted
- New!
Associate Securitized Products (CMBS, CRE)
CompanyPune, IN Role - Associate Securitized Products.Analyzing prepayment and default trends for various types of mortgage securitizations and.
Monitoring investor ownership structure in different sectors.Monitori...Show moreLast updated: 20 hours ago
- Promoted
Associate RA ( Module 1, regulatory submission)
ConfidentialPune, India Associate RA ( Module 1, regulatory submission).Syneos Health® is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success.We translate unique clinic...Show moreLast updated: 20 days ago
- Promoted
PharmaACE - Associate Consultant / Consultant - Advanced Analytics
PharmaACE AnalyticsPune, India Description : Role Overview : The Associate Consultant / Consultant Advanced Analytics will play a key management role in leading complex analytic...Show moreLast updated: 24 days ago
- Promoted
- New!
Associate / Sr. Associate - Ecommerce Operations
Wholsum Foods (Slurrp Farm and Mille)pune, maharashtra, in Associate - Ecommerce Operations.Join the dynamic team at Wholsum Foods and be part of an extraordinary movement! Our mission is simple : to change the world's eats.
With brands like Slurrp Farm and ...Show moreLast updated: 19 hours ago
- Promoted
SRC GenericSenior Associate
PricewaterhouseCoopersPune, Maharashtra, India At PwC our people in risk and compliance focus on maintaining regulatory compliance and managing risks for clients providing advice and solutions.
They help organisations navigate complex regulatory...Show moreLast updated: 1 day ago
- Promoted
Associate Director - Advanced Analytics
KMK Consulting Inc.Pune, IN KMK is a global data analytics and technology consulting company empowering leaders across the Life Sciences industries to make better data-driven decisions.
Our data analytics and software platform...Show moreLast updated: 30+ days ago
- Promoted
Associate RA ( Module 3, CMC)
ConfidentialPune, India Syneos Health® is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success.
We translate unique clinical, medical affairs and commercial insights into...Show moreLast updated: 20 days ago
- Promoted
Associate Consultant / Consultant – Advanced Analytics
PharmaACEPune, Maharashtra, India PharmaACE is a growing Global Healthcare Consulting Firm, headquartered in Princeton, New Jersey.Our expert teams of Business Analysts, based across the US, Canada, Europe, and India, provide Analy...Show moreLast updated: 16 days ago
- Promoted
General Manager Products
Malti Plcement Services LLPChinchwad, maharashtra, in We suggest you enter details here.This is a full-time, on-site role for a General Manager Products located in Chinchwad.The General Manager Products will be responsible for overseeing product manag...Show moreLast updated: 13 days ago
- Promoted
Associate, Cybr Sec ThreatMgmt
Northern TrustPune, India Northern Trust, a Fortune 500 company, is a globally recognized, award-winning financial institution that has been in continuous operation since 1889.
Northern Trust is proud to provide innovative f...Show moreLast updated: 30+ days ago
- Promoted
Associate Consultant - MS Dynamics CRM Job
ConfidentialPune, India YASH Technologies is a leading technology integrator specializing in helping clients reimagine operating models, enhance competitiveness, optimize costs, foster exceptional stakeholder experiences,...Show moreLast updated: 20 days ago
- Promoted
Associate Director of ICSR
ConfidentialPune, India We are PrimeVigilance (part of Ergomed PLC), a specialised mid-size pharmacovigilance service provider established in 2008.
We are proud to have achieved global organic growth year after year, with ...Show moreLast updated: 20 days ago
- Promoted
Associate Consultant
Future Market Insights, Inc.Pune, Maharashtra, India Associate Consultant Level -2”.We deliver a complete packaged solution, which combines current market intelligence, statistical anecdotes, technology inputs, valuable growth insights, aerial view o...Show moreLast updated: 30+ days ago
- Promoted
RCM Associate
ConfidentialPimpri, India Obtains prior-authorizations and referrals from insurance companies prior to procedures or Surgeries utilizing online websites or via telephone.
Monitors and updates current Orders and Tasks to prov...Show moreLast updated: 14 days ago