Welcome to Veradigm Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes Our Vision is a Connected Community of Health that spans continents and borders With the largest community of clients in healthcare Veradigm is able to deliver an integrated platform of clinical financial connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information Veradigm Welcome to Veradigm Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes Our Vision is a Connected Community of Health that spans continents and borders With the largest community of clients in healthcare Veradigm is able to deliver an integrated platform of clinical financial connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information We are an Equal Opportunity Employer No job applicant or employee shall receive less favorable treatment or be disadvantaged because of their gender marital or family status color race ethnic origin religion disability or age nor be subject to less favorable treatment or be disadvantaged on any other basis prohibited by applicable law For more information please explore Veradigm com What will your job look like This position has a three-part of Accounts Receivable follow-up Payment Posting and Charge Entry processing As such the position is responsible for the overall recovery and management of the clients Revenue Cycle Along with the responsibilities associated with accurately entering charges posting payments and the subsequent recovery of revenue the position optimizes all phases of RCM Additionally provides training and support to other team members Supports the RCMS BU s overall Operations and Client Services departments by efficiently and effectively driving the Revenue Cycle Management process and achieving KPI results No budget responsibilities must meet established RCM KPI s Main Duties Strong customer service skills for client satisfaction and client AR health answering client patient and carrier calls prompt return and follow up to all interactions prompt response to requests for information Timely management of unpaid claims as assigned through the use of the client s office management administrator Aging reports correspondence Clearinghouse and PM rejections SharePoint reference maintenance Effectively handles complex payer denials responsible to ensure that secondary claims are processed and paid Monitoring and reconciliation of claims Timely posting of payments and identifying adjustments and differences in payments Expert ability to input specific data and review patients issues and credits Knowledgeable of medical EOB s patient deductibles and co pays and insurance or third party correspondence Ability to conduct a contract rate audit and provide notification to RCM Management of underpaid or pay equal charges provide Claim Edit Reports and Unassigned Money Reports as requested Effectively work with clients and others to facilitate information and resolve charge questions Creates credit debit reports and denial reports in order to provide critical information to the others Expert ability to add specific data such as modifiers payer specific information including authorization criteria CPT and ICD codes and date of injury DOI Understands and interprets the Correct Coding Initiative CCI as it applies to charge entry work Timely and efficient entry and reconciliation of batches Processes and conducts discrepancy reconciliation and closing of charge batches across all systems Works with clients and others to facilitate information and resolve charge questions Achieves goal of a 48-hour turnaround batch time Achieves goals set forth by RCM Management regarding error-free work transactions processes productivity and compliance requirements Specific goals include 1 400 accounts worked per month Other duties as assigned Academic Qualifications High School Diploma or GED Required An Ideal Candidate will have 1 year relevant work experience Preferred Technical Extensive knowledge on use of email search engine Internet ability to effectively use payer websites and Laserfiche knowledge and use of Microsoft Products Outlook Word Excel Preferred experience with various billing systems such as NextGen Pro and Allscripts Personal Strong written oral and interpersonal communication skills Ability to present ideas in business-friendly and user-friendly language Highly self-motivated self-directed and attentive to detail team-oriented collaborative ability to effectively prioritize and execute tasks in a high-pressure environment Communication Ability to read analyze and interpret complex documents Ability to respond effectively to sensitive inquiries or complaints from employees and clients Ability to speak clearly and to make effective and persuasive arguments and presentations Math Reasoning Ability to add subtract multiply and divide in all units of measure using whole numbers common fractions and decimals Ability to use critical thinking skills to apply principles of logic and analytical thinking to practical problems Work Arrangements Work from Pune Office all 5 days Shift Timing 7 30 PM IST to 4 30 AM IST US Shift Benefits Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work Through our generous benefits package with an emphasis on work life balance we give our employees the prospect to allow their careers to flourish Quarterly Company-Wide Recharge Days Peer-based incentive Cheer awards All in to Win bonus Program Tuition Reimbursement Program To know more about the benefits and culture at Veradigm please visit the links mentioned below - https veradigm com about-veradigm careers benefits https veradigm com about-veradigm careers culture Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce Thank you for reviewing this opportunity Does this look like a great match for your skill set If so please scroll down and tell us more about yourself