RCM AR Specialist

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

Benefits offered by this job

Quarterly Company-Wide Recharge Days

Peer-based incentive “Cheer” awards

Tuition Reimbursement Program

Job summary

Veradigm invites applications for a RCM AR Specialist position based in Pune, expected to work from office with a night shift from 7.30 PM to 4.30 AM. The role emphasizes strong customer service to support client satisfaction and health claim resolution.

Responsibilities include handling patient and carrier calls, aging reports, Clearinghouse and PM rejections, and ensuring timely collection of unpaid claims while managing denials and secondary claims.

Qualifications

• Strong customer service skills for client satisfaction and client AR health.
• Experience handling aging reports, Clearinghouse and PM rejections.
• Ability to monitor and reconcile claims including held vouchers, unbilled vouchers, denial trends, patient balance reports, credits and refunds.

Responsibilities

• Answer client, patient and carrier calls; prompt return and follow-up to all interactions; prompt response to requests for information.
• Prepare and analyze aging reports; manage Clearinghouse and PM rejections; maintain SharePoint reference/maintenance.
• Timely management of unpaid claims; handle complex payer denials; ensure secondary claims are processed and paid.

Skills

Customer service

Communication

Attention to detail

Time management

Tools

SharePoint

Job description

RCM AR Specialist 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
• aging reports; correspondence; Clearinghouse and PM rejections; SharePoint reference/maintenance

Timely management of unpaid claims as assigned, through the use of the client’s office management/administrator.

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/ #LI-SL1

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

Welcome to Veradigm, where our Mission is transforming health, insightfully.

Join the Veradigm team and help solve many of today’s healthcare challenges being addressed by biopharma, health plans, healthcare providers, health technology partners, and the patients they serve.

At Veradigm, our primary focus is on harnessing the power of research, analytics, and artificial intelligence (AI) to develop scalable data-driven solutions that bring significant value to all healthcare stakeholders.

Together, we can transform healthcare and enable smarter care for millions of people.