Payment Posting In Medical Billing

Payment posting in Medical Billing helps manage daily payments, providing an overview of collections and collections. Efficient posting improves financial status and cash flow. BIS also converts manual posting into ERA posting for faster completion of posting.

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What is Payment Posting in Medical Billing?

Payment Posting is one of the significant steps in the process flow of revenue cycle management. It represents the financial strength of an organization in a quick snapshot.

Payment Posting in Medical Billing is a process wherein the payments are logged into the system. This provides us an overview of the entire payment details and help us understand the collections through various payers.

By accurate and thorough posting of payments in medical billing, we get a clear insight into insurance payments through EOBs (Explanation of Benefits), Insurances checks through ERAs (Electronic Remittance Advice) and payments from patients, separately. With a large number of payments to be posted every day, an efficient posting process provides better understanding of the day-to-day financial status. It helps in better flow of cash.

Why Is Attention To Details Very Crucial?

Persons involved in this crucial step should have great attention to details. Any small mistake in the entry of the payments can provide a completely incorrect image of the financial picture. For example, let us consider, Thomas, who works in the payments team, inadvertently enters a $4090 bill instead of $409 payment. He also has not caught up with the error and moved on. Imagine the payment going through the entire medical billing process and the repercussions the mistake has led to.

If the error is caught at some step in the process initially and corrected before the payment invoice is generated, the confidence of the patient experience is not disturbed. Else, the patient would be billed a sumptuous incorrect amount, thus leading to a loss of trust. Also, the AR (Accounts receivables Management) MIS would report inaccurate figures and thus representing a completely false financial picture. Everyday reconciliation helps spotting errors immediately and rectifying them. A good payment posting process also helps in identifying potential challenges that would occur and providing solutions to correct them.

Payment Posting In The Revenue Cycle Management Process

Process flow in the posting of payments should be integral to the entire revenue cycle management process. An efficient payment process workflow and system help in observe the everyday trends in the payment process and help identifying opportunities to increase the revenue. A smooth posting process flow increases the potential output of the entire medical billing process.

Things To Watch Out For In The Payment Posting Process

Data from posting matches the EOBs and ERAs received – Regular reconciliation helps in tallying the same as there are no big surprises coming at a later stage.

Denial Management – To work hand in hand with the denial management team so that any rework and rebilling happens in a timely manner. Delays will hamper inflow of revenue and also could increase write- offs.

Balancing Write-Offs – the detailed process of posting the payments should indicate client specific levels for write-offs and adjustments. Any deviation requests should immediately be notified and appropriate action should be taken to prevent loss of revenue.

Patient Payment responsibilities – There are various reasons for patients to be billed for the services like co-pays, non-covered services, etc. The patient responsibilities should be identified and conveyed at an earlier stage. Its helps in faster collection cycle. Also, the same has to be mapped correctly to avoid any misrepresentation of the financial status.

Contracts and Fee Schedules Review – At BIS, our Contract and Credentialing team works with all payers and establishes the payer contract guidelines effectively and also publishes “Contract & Fee Schedules” document to the other RCM teams regularly. This enables the payment poster to review the Contract & Fee Schedules and post the payments and adjustments accurately.

Payment Posting At BIS

Doing accurate posting of payment on time help in the healthcare service to sustain and thrive in business. At Business Integrity Services, we offer accurate posting services. We post in your medical billing system and manage the payments through EOBs and ERAs. Our daily reconciliations help sort out any gaps immediately and avoid any unseen mishaps at a later point in time. We also check on case to case basis for any revenue leaks at any stage of payment collection, be it through insurance or from patients. Our case studies and analysis help in addressing any payment issue at the root level in order to ensure faster payment cycle.

With accurate payment posting, BIS helps you in seeing a vivid picture of your true financial status.

Bi-Lingual Patient Service agent

Mission of the position:

Assist as many patients as possible in completing their recommended procedures, ensure the proper authorization process, and provide information with the utmost care.

Responsibilities:

• Continuous monitoring of authorization status for processing orders
• Telephone contact with patients to address their service requests
• Responding to emails regarding the status or follow‑up of administrative procedures
• Scheduling, rescheduling, or cancelling procedures and related follow‑up appointments
• Handling incoming patient calls as needed
• Providing patients with information and assistance regarding the financial responsibilities of procedures
• Building trust with patients through empathetic communication
• Being proactive to anticipate and avoid potential future concerns
• Looking for opportunities to go above and beyond
• Performing any additional support duties requested by the immediate supervisor, as operational needs require
• Complying with instructions from supervisors regarding job‑related responsibilities

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Business Intelligence - Associate Sr Associate

Experience – 1 to 2+ Years (Night Shift)

SKILLS REQUIRED

• Develop, maintain, and debug SSIS packages and SQL ETL solutions for data extraction,
transformation, and loading.
• Design SQL stored procedures, functions, views, and database objects to support ETL processes. Analyze complex data sets to derive business insights and support strategic initiatives.
• Conduct testing, prepare ETL deployments, and ensure data accuracy and efficiency.

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Quality Analyst – Authorization (QA – Auth) - Trichy

Experience – 4+ Years – Trichy Night Shift


SKILLS REQUIRED

• Conduct quality audits on prior authorization processes to ensure compliance with payer and organizational standards.
• Analyze audit findings to identify trends, inefficiencies, and areas for improvement.
• Use Excel to generate reports, track KPIs, and support proactive quality initiatives.
• Collaborate with teams to implement corrective actions and stay informed on evolving payer and regulatory requirements.

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Insurance AR – Team Lead

Job Title: Insurance AR – Team Lead

Location: Trichy
Work Mode: Work from Office (WFO)
Shift: Night Shift
Experience: 4-5+ Years

 

Roles & Responsibilities:

  • Lead and manage a team of Insurance AR executives, ensuring adherence to SLAs, productivity, and quality benchmarks.
  • Oversee end-to-end AR activities including claims follow-up, denial management, appeals, and resolution of complex AR issues.
  • Allocate work, monitor daily performance, and provide coaching and feedback to improve team efficiency.
  • Analyze AR aging, denial trends, payment patterns, and root causes to implement corrective action plans.
  • Conduct regular team huddles, performance reviews, and training sessions to enhance skill levels.
  • Ensure timely escalation and resolution of critical accounts, denials, or payer-specific issues.
  • Maintain accurate documentation and prepare periodic AR performance reports for management.
  • Collaborate with cross-functional teams (coding, billing, payment posting) to improve AR outcomes and reduce rejections.
  • Ensure compliance with payer policies, HIPAA guidelines, and organizational process standards.

 

Skills Required:

  • Strong expertise in following up on claims, managing complex denials, and handling appeals.
  • Prior experience in leading a team, task delegation, performance monitoring, and coaching.
  • Ability to analyze aging reports, identify trends, and drive process improvements.
  • Strong verbal and written communication skills for client interaction and team coordination.

 

Eligibility Criteria:

  • 4 Years of experience in US Healthcare RCM with specialization in Insurance AR.
  • Minimum 1–2 years of experience in mentoring or leading AR associates.
  • Proficient in MS Excel and familiar with RCM tools and billing platforms.
  • Strong interpersonal skills, problem-solving ability, and decision-making capability.

 

Educational Qualification:

  • Graduation in Any Discipline.
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Associate / Senior Associate – Scheduling

Job Title: Scheduling Associate

Location: Trichy

Work Mode: Work from Office (WFO)

Shift: Night Shift

Experience Required: 1+ Years

Job Description

Roles and Responsibilities:

· Handle end-to-end patient scheduling activities including inbound and outbound calls.

· Schedule, reschedule, and cancel patient appointments as per requirements.

· Coordinate with patients and internal teams to ensure smooth appointment flow.

· Maintain accurate records of calls, appointments, and patient information.

· Handle patient queries and provide appropriate information in a timely manner.

· Follow up with patients for appointment confirmations and reminders.

· Ensure adherence to process guidelines, quality standards, and SLA requirements.

· Escalate issues to the supervisor when necessary.

Key Skills Required:

· Good verbal and written communication skills.

· Strong logical reasoning and problem-solving ability.

· Basic analytical skills to handle scheduling scenarios effectively.

· Experience in patient AR (Accounts Receivable) or patient calling is an added advantage.

· Ability to handle multiple tasks in a fast-paced environment.

Mandatory Skills:

· Minimum of 1+ year experience in medical billing / patient AR / patient calling / scheduling.

· Good understanding of patient handling and call management.

· Basic knowledge of healthcare processes is an added advantage.

· Attention to detail and ability to maintain accurate documentation.

Eligibility Criteria:

· Graduate in any discipline.

· Must be willing to work night shifts from the office in Trichy.

· Prior experience in scheduling or patient coordination is preferred.

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BILINGUAL SALES AGENT

BILINGUAL SALES AGENT:

Responsibilities:

  • Provide comprehensive patient care through the management of incoming and outgoing calls, ensuring clear, empathetic, and solution‑oriented communication.
  • Manage appointment scheduling, rescheduling, and cancellations, guaranteeing proper agenda organization and optimized availability.
  • Follow up with patients and open cases to ensure proper management and timely closure.
  • Accurately, completely, and promptly record information from each interaction in the established systems.
  • Deliver administrative support by managing emails, organizing agendas, updating databases, and coordinating activities.
  • Contribute to operational efficiency and a high‑quality patient service experience.
  • Comply with instructions from supervisors regarding work‑related matters and responsibilities inherent to the role.
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