RCM AR Specialist

Veradigm Inc.; Pune District; On-site; INR 350,000 - 550,000; Full time

Benefits offered by this job

Tuition Reimbursement

Quarterly Company-Wide Recharge Days

Cheer awards

Job summary

Veradigm Inc. in Pune, India, seeks an RCM AR Specialist to work from office on a night shift (7:30 PM to 4:30 AM). The role focuses on resolving unpaid claims, managing aging reports, and ensuring timely responses to client, patient, and carrier inquiries.

You will handle denials, monitor held/unbilled vouchers, credits, refunds, and work with SharePoint for reference. Strong customer service skills and the ability to meet monthly targets (e.g., 1,400 accounts worked) are essential; training

Qualifications

• Strong customer service skills for client satisfaction.

Responsibilities

• Handle client, patient and carrier calls with prompt follow-up.
• Manage unpaid claims and aging reports; clearinghouse and PM rejections.
• Resolve payer denials; ensure secondary claims are processed and paid.
• Monitor and reconcile claims: held vouchers, unbilled vouchers, denial trends, patient balance reports, credits and refunds.
• Answer and resolve all incoming requests in a timely manner.
• Achieve goals set by RCM management (e.g., 1,400 accounts worked per month).
• May mentor new hires to assist learning.
• Complies with policies and procedures.

Skills

Customer service

Tools

SharePoint

Job description

RCM AR SpecialistWork 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**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 ProgramTo 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/#LI-SL1Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.Thank you for reviewing this opportunity! Does this look like a great match for your skill set? If so, please scroll down and tell us more about yourself!