RCM AR Specialist

Veradigm Inc.; 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 Inc. in Pune, India is seeking an RCM AR Specialist to manage accounts receivable for RCMS clients. The role involves detailed research on medical insurance claims, preparing appeals, and interacting with insurance carriers to resolve claims.

The position requires strong customer service, timely follow-up on unpaid claims, and the ability to work with denials and aging reports to achieve KPI targets. Onsite role with a focus on efficient AR processes.

Qualifications

• Recovery and management of accounts receivable for RCMS clients.
• Thorough research and follow-up on medical insurance claims.
• Preparation of appeals and responses to interactions with insurance carriers.

Responsibilities

• Strong customer service skills for client satisfaction.
• Timely management of unpaid claims using client office management/administrator and aging reports.
• Monitor and reconcile claims including held vouchers and denials; process secondary claims.
• Answer and resolve all incoming calls and requests promptly; ensure compliance with policies.

Skills

Accounts Receivable

Customer Service

Communication

Denial Management

Research

Timely Follow-up

Tools

SharePoint

Clearinghouse

Job description

## RCM AR SpecialistApply: Onsite: Pune, India: Full time: Posted 3 Days Ago: JR10990Work Location - Pune (Work from office)Shift Timing - 7.30 PM to 4.30 PMResponsible for the overall recovery and management of accounts receivable as it relates to maximizing accounts receivable collections for RCMS clients. The position involves detailed research and follow-up on medical insurance claims and the careful preparation of appeals and responses to efficiently interact with insurance carriers and resolve the claim. Supports the RCMS BU's overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and achieving KPI results.* 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!