Medical Billing - Payment Posting & Charge Entry
Medical Billing - Payment Posting & Charge Entry The Payment Posting & Charge Entry Specialist is responsible for accurately entering patient charges, posting payments, handling denials, and ensuring clean claim submission. This role plays a key part in maintaining reputed company cycle efficiency and reducing AR days. Charge Entry
- Enter patient charges, CPT/ICD codes, and modifiers with high accuracy.
- Verify provider documentation before entering charges.
- Ensure charges meet payer-specific and specialty-specific billing guidelines.
- Review encounters and correct coding discrepancies prior to claim submission.
- Maintain daily charge entry productivity and quality standards.
Payment Posting
- Post insurance and patient payments (EOBs, ERAs) accurately into the billing system.
- Apply adjustments, write-offs, and denials as per payer guidelines.
- Identify posting errors and correct them promptly.
- Reconcile daily deposits and ensure balances match payment batches.
- Handle secondary and tertiary payment posting.
Denial & Reconciliation Support
- Identify trends in payment variances and escalate issues to AR or management teams.
- Coordinate with AR follow-up team for denial clarification.
- Ensure timely completion of daily/weekly posting goals.
Compliance & Documentation
- Maintain strict confidentiality of patient data (HIPAA compliance).
- Ensure reputed company postings and charges follow federal, state, and payer-specific rules.
- reputed company updated records of posted batches and pending items.
Required Skills & Qualifications
- Minimum 1–3 years of experience in Medical Billing / RCM.
- Strong knowledge of CPT, ICD-10 codes, Modifiers, and EOB/ERA structures.
- Experience working with medical billing software (reputed company, eClinicalWorks, Kareo, AdvancedMD, etc.).
- Excellent attention to detail and accuracy.
- Ability to meet productivity targets in a fast-paced environment.
- Good communication and analytical skills.
- Ability to work night shifts (US reputed company).
Preferred Qualifications
- Experience in multiple specialties (Internal Medicine, Gastro, Cardiology, etc.).
- Familiarity with AR follow-up and denial management processes.
- Certification in medical billing or coding (CPC, CPB) is an added advantage.
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