Harris Computer
Website:
harriscomputer.com
Job details:
Primary Functions
- Payment Processing & Posting
- Post payments from insurance companies, government programs (Medicare/Medicaid), and
patients into the RCM system.
- Process Electronic Remittance Advices (ERA) and Manual Explanation of Benefits (EOB).
- Apply necessary adjustments, refunds, and write-offs per payer guidelines.
- Balance and reconcile daily deposits with posted payments.
- Denial Management & Reconciliation
- Identify and post insurance denials while ensuring timely follow-up for resolution.
- Work with the billing and accounts receivable teams to correct claim errors and resubmit
claims.
- Track underpayments and escalate discrepancies to the RCM Manager.
- Reporting & Documentation
- Maintain accurate payment records and reconciliation reports.
- Generate daily, weekly, and monthly reports on payment trends, denials, and discrepancies.
- Ensure compliance with company policies and industry regulations (HIPAA, Medicare
guidelines).
- Communication & Collaboration
- Coordinate with the billing team, accounts receivable, and insurance companies to resolve
Payment discrepancies.
- Respond to inquiries from internal teams regarding posted payments.
- Escalate unresolved payment issues to the appropriate leadership.
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