Us Healtcare RCM

Job Title

Job Summary

We are looking for detail-oriented Payment Posting / Data Entry Associates with experience in US Healthcare Revenue Cycle Management -Preferred and Not Mandatory

The role involves accurate data entry and interpretation of financial documents such as EOBs and remittances, ensuring high productivity and quality standards. Candidates should be comfortable working in a high-volume environment with strict SLAs and accuracy benchmarks.

Key Responsibilities

Data Entry & Payment Posting

• Accurately post payments, adjustments or denials from lockbox documents into the system
• Capture data from:
• Explanation of Benefits (EOBs)
• Remittance Advice
• Insurance Checks
• Patient Payment Stubs
• Payer Correspondence & Denial Letters
• Ensure correct entry of payment amounts, denial codes, adjustments, and claim details

Productivity & SLA Management

• Meet defined productivity targets (hourly/daily throughput)
• Adhere to turnaround time (TAT) and SLA requirements
• Maintain consistency in high-volume transaction processing

Quality & Accuracy

• Ensure high accuracy (as per defined benchmarks, typically 98%+)
• Minimize errors and rework through attention to detail
• Follow SOPs and client-specific guidelines strictly

Exception Handling

• Identify incomplete or unclear documents and route to exception queues
• Flag discrepancies and escalate complex cases as needed

Process Adherence & Improvement

• Follow standardized workflows and compliance guidelines
• Support process improvements by highlighting recurring issues
• Participate in training and upskilling initiatives

Required Qualifications

• 0–2 years of experience in US Healthcare RCM (Payment Posting / Data Entry / Lockbox preferred)
• Familiarity with EOBs, remittance advice, and healthcare payment workflows
• Basic understanding of denial codes and adjustments is a plus
• Willingness to work in night shifts with rotational offs

Key Skills

• Strong typing speed (minimum 35 WPM) with high accuracy (98%+)
• The candidate should be able to read, write, and speak in English (Intermediate)
• Good understanding of financial and claim data interpretation
• Attention to detail and data validation skills
• Basic analytical and problem-solving ability
• Ability to work in a fast-paced, target-driven environment

Success Metrics

• Productivity (transactions/hour)
• Accuracy rate
• SLA/TAT adherence
• Error/rework rate
• Queue management efficiency

Education
MBBS, Bachelor of Architecture (B.Arch), Bachelor Of Computer Application (B.C.A), Bachelor of Music Education (B.M.E.), Bachelor of Applied Science (BAS), Bachelor of Science (B.Sc), Bachelor in General Studies (BGS), Bachelor Of Technology (B.Tech/B.E), Bachelor of Business Administration (B.B.A), Bachelors of Law (B.L/L.L.B), Bachelor of Music, Bachelor of Dental Surgery (B.D.S), Bachelor of Commerce (B.Com), Bachelor Of Pharmacy (B.Pharm), Bachelor of Arts (B.A), Bachelor of Health Science, Bachelor in Hotel Management (B.H.M), Bachelor of Liberal Arts (BLA/ALB), Bachelor of Education (B.Ed), Bachelor of Ayurvedic Medicine and Surgery (BAMS), Bachelor of Homeopathic Medicine and Surgery (BHMS), Bachelor of Social Work (B.S.W), Bachelor of Interdisciplinary Studies
Skills Required
Us Healthcare