JOB SUMMARY
Responsible to know and facilitate specific accounts and their unique attributes in order to successfully provide
customized RCM for each account. This is a dual position with its own workload along with oversight to train,
audit and monitor the group for accurate procedures and turnaround. Ensure workflow, including collecting
payments stays current and on track with regards to insurance carriers, patients, clients and internal
interactions. Supports the overall
Operations and Client Services by efficiently and effectively providing and reviewing account data needed for the
Revenue Cycle process and delivering results.
ESSENTIAL FUNCTIONS/MAJOR JOB RESPONSIBILITIES
• Robust customer service skills for client satisfaction, health of client AR and guidance for RCM team
members
• Answers client calls; prompt return and follow up to all interactions; prompt response to requests for
information, both internally and externally.
• Acts as initial point person for team regarding technical work questions/processes/procedures to provide
training/guidance.
• Escalates issues to RCM Management related to clients and staff.
• Trains individuals on systems and workflow in order to ensure protocols are followed.
• Reviews and works all unpaid and denied insurance correspondence, both phone appeals and written
appeals; confirm all patient demographics and insurance is current and up to date.
• Runs, reviews and works unpaid patient balance reports for payment by reading current notes and place for
past due letters and phone calls.
• Prepares insurance/patient correspondence for coworkers by reviewing and batching for further attention
and review.
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• Prepares and sends uncollected patient payments to collections by writing up forms for the doctors to
review.
• Reviews and works insurance and patient over payments, prepare refund request and send to doctor's
office.
• Answers phone calls from insurances and patients.
• Organizes, identifies and improves workf
📌 RCM Team Lead (Pune)
🏢 Veradigm
📍 Pune