LENKA VENKATA TEJA

ACN Infotech – US Healthcare Payment Posting Executive

• Manual payment posting and ERA auto-posting using Epic software.
• Reviewed EOB/ERA details and posted insurance payments and adjustments.
• Reconciled payment batches and reviewed unmatched payments and discrepancies.
• Handling US healthcare insurance payment posting using Epic software some other tools (PNC, Aetna, Cigna, OnBase, QuickBase, etc...,) .
• Reviewed EOB (Explanation of Benefits) and ERA (Electronic Remittance Advice) for insurance payment details.

Roles and Responsibilities:

• Posted insurance payments and adjustments to the appropriate patient accounts.
• Processed contractual adjustments, deductibles, copayments, and coinsurance based on remittance information.
• Reconciled payment batches and investigated payment discrepancies.
• Identified underpayments, overpayments, zero-payment claims, and unapplied payments for further review.

Key Skiils

US Healthcare RCM | Payment Posting | Epic EHR | Manual Payment Posting | ERA Auto-Posting | EOB Processing | Payment Reconciliation | Contractual Adjustments | Payment Exceptions

Concentrix - U.S. Healthcare Claim Benefits Adjudication (4 Years)

• Worked on US Healthcare Project HRP, Aetna, Cob verification, authorization, verifying member responsibility like copay coins deductible, provided verifications.
• Processing claim using Citrix application and some other tools and approving the same.
• Ensuring legal compliance by following company policies, procedures, and guidelines, as well as state and central insurance regulations.
• Reviewing and processing new claims reports.
• Maintaining relationships and communication with the insurance departments and clients

Roles and Responsibilities:

• Handling & processing of claims adjudication for US healthcare domains.
• Maintained confidentiality of patient finances, records and health statuses.
• Meet daily standards of productivity as established.