RCM AR Speciailist

Veradigm®; Maharashtra; On-site; INR 600,000 - 800,000; Full time

Benefits offered by this job

Quarterly Company-Wide Recharge Days

Peer-based Cheer awards

Tuition Reimbursement Program

Job summary

Veradigm in Maharashtra, India is seeking a dedicated RCM associate to manage client and patient interactions, handle unpaid claims, and ensure timely processing of denials and secondary claims. You will work with aging reports and reconciling claims, maintaining compliance, and supporting new hires as needed.

The role emphasizes accuracy, prompt communication, and adherence to policies, with targets such as 1,400 accounts per month, contributing to overall revenue cycle efficiency.

Qualifications

• Strong customer service skills for client satisfaction and client AR health.
• Experience handling unpaid claims and denials.
• Ability to manage claims aging reports and reconciliations.
• Capacity to work with multiple stakeholders and follow procedures.

Responsibilities

• Answer 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 client’s office management/administrator.
• Aging reports; correspondence; Clearinghouse and PM rejections; SharePoint reference/maintenance.
• Effectively handle complex payer denials; ensure secondary claims are processed and paid.
• Monitoring and reconciliation of claims to include: Held vouchers, Unbilled vouchers, Denial trends, Patient balance report, Credits and refunds.
• Manage and track information requests to client.
• Answer and resolve all incoming calls and requests in a timely manner.
• Complies with and enforces policies and procedures.
• 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.
• May act as partner for new hires to assist them in learning.
• Other duties as assigned

Skills

Customer service

Communication

Attention to detail

Job description

• 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 handle complex payer denials; responsible to ensure that secondary claims are processed and paid
• Monitoring and reconciliation of claims to include:
• Unbilled vouchers
• Patient balance report
• Credits and refunds
• Manage and track information requests to client.
• Answer and resolve all incoming calls and requests in a timely manner.
• Complies with and enforces policies and procedures
• 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
• May act as partner for new hires to assist them in learning
• Other duties as assigned

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 opportunity to allow their careers to flourish.

• Quarterly Company-Wide Recharge Days
• Peer-based incentive “Cheer” awards
• Tuition Reimbursement Program

• 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 handle complex payer denials; responsible to ensure that secondary claims are processed and paid
• Monitoring and reconciliation of claims to include:
• Held vouchers
• Unbilled vouchers
• Denial trends
• Patient balance report
• Credits and refunds
• Manage and track information requests to client.
• Answer and resolve all incoming calls and requests in a timely manner.
• Complies with and enforces policies and procedures
• 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
• May act as partner for new hires to assist them in learning
• Other duties as assigned

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 opportunity to allow their careers to flourish.

• Quarterly Company-Wide Recharge Days
• Peer-based incentive “Cheer” awards
• 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.

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