RCM Charge Entry Specialist

Francisco Partners; Pune District; On-site; INR 300,000 - 540,000; Full time

Benefits offered by this job

Quarterly Recharge Days

Cheer awards

Tuition Reimbursement Program

Job summary

Veradigm in Pune (Work from Office) seeks a detail-oriented professional for charge entry and AR support within our RCMS operations. Your role involves reviewing client data, accurately recording demographics and charges, and applying modifiers, CPT/ICD codes, and DOI details.

You will help minimize denials and ensure timely batch processing. Responsibilities include answering client inquiries, inputting service data, tracking information requests, and maintaining compliance with policies.

Qualifications

• Experience in charge entry and AR processes.

Responsibilities

• Strong customer service skills; answering client calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally
• Timely input of demographic charges and time of service payment information
• Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD codes and date of injury (DOI)
• Knowledgeable to append modifiers based on payer specifics, insurance and authorization requirements and referring physicians’ unique attributes
• Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry work
• Reduce denials by correct use of modifiers, mapping, and linking codes with services Responsible for the processing and discrepancy reconciliation and closing of charge batches across all systems
• Successfully and effectively track and follow up on information requests to and from the clients.
• Work with clients and others to facilitate information and resolve charge questions Achieve goal of a 48-hour turnaround batch time
• Responsible for Claim Edit Reports and Unassigned Money Reports
• Complies and enforces all policies and procedures
• Achieve goals set forth by RCM Management regarding error-free work, transactions, processes, productivity and compliance requirements

Skills

Charge entry

Accounts receivable

KPI tracking

Tools

Next Gen

Allscripts

Epic

Microsoft Office

Job description

Work Location: Pune (Work from Office)

Shift Timing: 7.30 PM - 4.30 AM

Responsible for charge entry through the careful review of source data provided by clients with accurate recording demographics and charges associated with patient information and insurance. Supports the RCMS BU's overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and achieving KPI results.

Job Responsibilities:

• Strong customer service skills; answering client calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally
• Timely input of demographic charges and time of service payment information
• Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD codes and date of injury (DOI)
• Knowledgeable to append modifiers based on payer specifics, insurance and authorization requirements and referring physicians’ unique attributes
• Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry work
• Reduce denials by correct use of modifiers, mapping, and linking codes with services Responsible for the processing and discrepancy reconciliation and closing of charge batches across all systems
• Successfully and effectively track and follow up on information requests to and from the clients.
• Work with clients and others to facilitate information and resolve charge questions Achieve goal of a 48-hour turnaround batch time
• Responsible for Claim Edit Reports and Unassigned Money Reports
• Complies and enforces all policies and procedures
• Achieve goals set forth by RCM Management regarding error-free work, transactions, processes, productivity and compliance requirements

Knowledge, Skills and Abilities:

Extensive knowledge with email, search engines, Internet; ability to effectively use payer websites and Laserfiche; basic competence in use of Microsoft products. Preferred experience with MS Access and PowerPoint, Crystal reports and various billing systems, such as Next Gen, Pro, Allscripts, Epic and others.

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/

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