Senior Payment Posting Specialist II - Exprimunt Medical Billing Pvt. Ltd. - Remote
(2025-06)
Role: Payment poster, Auditor, Trainer, Client Handling and Claims rejection
- Manage day-to-day payment posting activities from BOD through EOB processing.
- Train new team members on payment posting processes and client-specific requirements.
- Update SOPs with process changes and coordinate approval with the onshore team.
- Attend daily client calls to communicate batch status and provide clarifications.
- Maintain daily client logs and track completed deposits.
- Track missing EOBs and coordinate with the AR team for timely posting.
- Reconcile payments received against payments posted in the PMS on a daily basis.
- Process daily gateway rejections and update completion status.
- Route clarification claims to the appropriate departments.
- Prepare and maintain production and quality reports for users and the team.
- Prepare weekly and monthly balancing reports.
- Monitor insurance unapplied payments and clarification inventories.
- Maintain payment posting and rejection inventory logs.
- Prepare daily rejection tracking and clarification rejection reports.
Specialist, Client Services – Level 1 - Medusind Solutions India Pvt. Ltd. - Chennai
(2025-01 - 2025-05)
Role: Quality Control Team Member / IDP Team Member
- Audited payment posting activities and provided daily feedback to team members.
- Maintained quality and feedback reports.
- Participated in client calls and communicated updates, escalations, and clarification responses to the team.
- Conducted weekly team meetings regarding client errors, escalations, and process updates.
- Provided EOB samples for the IDP process.
Process Associate Level II - AGS Health Pvt. Ltd. - Chennai
(2014-10 - 2025-01)
Role: AR Analyst – Credit Balance / AR Follow-Up
- Provided basic training to new users on credit balance and refund processes.
- Trained team members on billing systems and project-specific instructions.
- Conducted refresher training covering client escalations and process updates.
- Prepared monthly trend analysis and inflow reduction reports.
- Worked on complex credit accounts involving eligibility, COB, coding, and authorization issues.
- Prepared refund packets and processed patient credits.
- Worked on refund requests received from payers.
- Checked claim status through payer portals.
- Analyzed denial reasons and took appropriate corrective action.
- Resubmitted claims with corrected information.
- Prepared appeal documentation.
- Prepared COB letters for patients.
- Routed DNB and rejected claims to the appropriate departments.
Process Specialist - Lister Technologies Pvt. Ltd. - Chennai
(2010-07 - 2015-05)
Role: Quality Control Team Member / Team Backup – Payment Posting & Pre-Verification
- Audited payment postings and provided weekly and monthly feedback to the team.
- Verified insurance eligibility for patient accounts and updated comments according to client requirements.
- Prepared daily eligibility reports.
- Prepared SOPs for new processes.
- Conducted weekly refresher training covering client comments, errors, and new instructions.
- Maintained CAPA logs.
- Participated in client calls, provided process improvement suggestions, and communicated client feedback to the team.
- Generated electronic patient statements on a weekly basis.
- Reconciled payments posted in the software against batches received and prepared clarification reports.
- Prepared monthly invoices for payment posting and eligibility processes.
- Trained new employees on payment posting and eligibility verification.
- Trained new employees on client-specific instructions.
- Trained new employees on software applications and workflows.
- Consistently achieved assigned productivity and quality targets.
- Successfully supported client requirements during critical and high-pressure situations.
- Trained new employees and helped them achieve productivity and quality targets.
Senior Financial Transaction Executive - Dell Perot Systems Pvt. Ltd. - Chennai
(2005-12 - 2010-07)
Role: Payment Poster/Auditor
- Worked with Lockbox and ERA processes across multiple specialties within the U.S. healthcare industry.
- Processed healthcare payment transactions in accordance with client requirements.
