RCM AR Specialist

Veradigm®; Pune District; On-site; INR 360,000 - 540,000; Full time

Benefits offered by this job

Quarterly Company-Wide Recharge Days

Peer-based incentive "Cheer" awards

Tuition Reimbursement Program

Job summary

Veradigm in Pune, India is seeking a detail-oriented RCM support specialist to ensure accurate processing of patient and payer claims and prompt resolution of inquiries. You will work in shifts from 7.30 PM to 4.30 AM, supporting the client’s accounts receivable health initiatives.

Responsibilities include handling unpaid claims, denials, and reconciliations, with a focus on timely communication and compliance with policies. Prior experience in healthcare RCM is advantageous.

Qualifications

• Strong customer service skills are required.
• Ability to answer queries from client, patient, and carrier.
• Prompt follow-up and information requests handling.

Responsibilities

• Handle unpaid claims timely and coordinate with client’s administrator.
• Review aging reports, correspondence, and denials; ensure secondary claims are paid.
• Monitor and reconcile claims, including held/unbilled vouchers, patient balances, credits and refunds.
• Respond to information requests from client promptly and resolve inquiries.
• Ensure compliance with policies and procedures and meet monthly target of 1,400 accounts.

Skills

Customer service

Communication

Accounts tracking

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

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

Work Location - Pune (Work from office)

Shift Timing - 7.30 PM to 4.30 AM

• 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

• 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.