We are seeking a detail-oriented and dependable Process Associate – Medical Billing to join our growing RCM team in Kochi. This role will focus on Charge Entry and Payment Posting processes using the Athenahealth EHR system. The ideal candidate will have prior experience working with Athena, strong analytical skills, and a clear understanding of US healthcare billing practices.

Key Responsibilities:

Charge Entry

• Review and enter charges into Athena based on provider documentation and coding guidelines.
• Ensure accurate selection of CPT, ICD-10, and modifiers.
• Validate insurance information and authorization details prior to submission.
• Perform quality checks to minimize denials or rejections.
• Coordinate with coders or providers for any clarification on documentation or code selection.

Payment Posting

• Post payments (ERA/EOB) into Athena with high accuracy and within turnaround timelines.
• Handle patient payments, insurance payments, and adjustments appropriately.
• Reconcile posted payments with bank deposits and remittance advice.
• Identify and report underpayments, overpayments, and denials for follow-up.
• Work with AR follow-up teams to ensure revenue cycle continuity.

General

• Maintain productivity and quality benchmarks as defined by the team.
• Ensure compliance with HIPAA and internal confidentiality policies.
• Escalate unresolved issues or system discrepancies to the team lead/supervisor.
• Participate in training sessions and continuous learning updates related to Athena and US healthcare changes.

Qualifications & Skills:

• Bachelor’s degree (any stream); healthcare or life science preferred.
• 1–3 years of hands-on experience in medical billing (charge entry and/or payment posting).
• Prior experience working on Athena EHR is mandatory.
• Familiarity with insurance plans (Medicare, Medicaid, commercial).
• Strong knowledge of CPT, ICD-10, HCPCS, and billing compliance.
• Good verbal and written communication skills.
• High attention to detail and accuracy.

Preferred Attributes:

• Certification in Medical Billing & Coding (e.g., CPC-A, CCS-P) is an added advantage.
• Exposure to end-to-end RCM workflow.
• Familiarity with denial management and AR follow-up is a plus.