RCM AR Specialist

Veradigm®; Maharashtra; On-site; INR 400,000 - 600,000; Full time

Benefits offered by this job

Quarterly Company-Wide Recharge Days

Peer-based incentive 'Cheer' awards

Tuition Reimbursement Program

Job summary

Veradigm® is hiring for a position in Pune, focusing on customer service and claims management. Responsibilities include handling client interactions, managing unpaid claims, and ensuring compliance with company policies.

The role requires strong communication skills, timely resolution of issues, and partnership with new hires for training. The company promotes an inclusive workforce and offers various employee benefits.

Responsibilities

• Strong customer service skills for client satisfaction and client AR health.
• Answering client, patient and carrier calls; prompt follow-up to all interactions.
• Timely management of unpaid claims as assigned.

Job description

Responsibilities

• 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
  • Held 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

Work Location: Pune (Work from office)

Shift Timing: 7:30 PM to 4:30 AM

Benefits

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

Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.