Work Location - Pune (Work from Office):
- Shift timings - (7:30 PM - 4:30 AM) IST
Responsibilities:
- Promptly responds to internal and external client inquiries, interactions, and requests for information.
- Acts as the initial point of contact for team members regarding technical work questions, processes, and procedures and provides guidance on work matters.
- Escalates issues to RCS Management related to clients and staff.
- Monitors and manages accounts receivable (AR) to ensure timely claim resolution
- Organizes, identifies and improves workflow with team members and management through daily and weekly productivity reports. Escalates challenges, concerns, and needs for assistance to RCS Management.
- Maintains the ability to perform the duties of the Payment Entry Specialist, Charge Entry Specialist, and/or AR Specialist.- Monitors team productivity and generates reports on team performance. Assists management in identifying performance issues.
- Trains new hires and answers questions from less experienced associates.
- Assists with implementing recent clients and offboarding client terminations.
- Reconciles account discrepancies by investigating documentation, issuing credit memos, and processing adjustments.
- Maintains accurate financial records and prepares reports on the status of the AR.
- Monitors and reconciles claims, including held vouchers, unbilled vouchers, denial trends, patient balance report, credits, and refunds.
- Effectively handles complex payer denials.
- Processes and pays secondary claims.
- Communicates with clients and medical insurance carriers to resolve billing queries.
- Assists with financial audits by providing necessary documentation and explanations for AR processes.
- Implements process improvements to enhance the efficiency of the AR cycle.
Knowledge, Skills and Abilities
- Strong customer service skills for client satisfaction, health of client AR and guidance for RCS team members
- Ability to effectively use payer website
📌 Rcm Team Lead (Pune)
🏢 Veradigm
📍 Pune