
Payment Transaction Specialist
2 days ago
Key Responsibilities:
- Review and process insurance payments, adjustments, and denials from Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA).
- Ensure accurate account balancing by reconciling deposits with payments received.
- Identify and report payment discrepancies, underpayments, and denials to facilitate prompt resolution.
- Collaborate with the accounts receivable and billing teams to resolve posting errors and payment issues.
- Maintain accurate records of payment transactions for auditing, reporting, and compliance purposes.
- Evaluate and ensure adherence to HIPAA regulations and company policies.
- Support in researching and resolving claim rejections and underpaid claims to optimize revenue cycle management.
- Communicate with insurance companies as needed to clarify payment-related inquiries and provide necessary documentation.
- Stay updated on insurance policies, payment methodologies, and industry regulations to maintain expertise and make informed decisions.
Requirements
Work Experience:
- A minimum of 2-3 years of experience in a medical billing department is required.
Education:
- A Bachelor's or Master's Degree from an accredited institution is preferred.
Skills:
- Familiarity with insurance EOBs, ERAs, and claim processing is essential.
- Proficiency in medical billing software and electronic health record (EHR) systems is mandatory.
- Strong attention to detail and accuracy in data entry are critical.
- The ability to work independently and meet deadlines is vital.
- Excellent problem-solving and organizational skills are required.
- Understanding of HIPAA compliance and insurance guidelines is necessary.
Benefits and Work Arrangements
Monthly Gross Salary (USD): $400 - $450
Benefits: Annual Bonus, Eid Bonuses, Provident Fund, Health Insurance, Fuel Card or Company Pick & Drop, EOBI, Free Meal
Workdays: Monday - Friday
Workhours: Night shift (6pm – 3am PKT)
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