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 current 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
Robust 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 (India)
🏢 Veradigm
📍 India