RCM Charge Entry Specialist

LE9220 Veradigm India Private Limited - Pune; Pune District; On-site; INR 360,000 - 480,000; Full time

Benefits offered by this job

Quarterly Company-Wide Recharge Days

Peer-based incentive Che r awards

Tuition Reimbursement Program

Work-life balance benefits

Job summary

LE9220 Veradigm India Private Limited - Pune is seeking a charge entry specialist responsible for reviewing client data to accurately record demographics and charges, supporting RCMS Operations and Accounts Receivable KPI results.

The role requires timely input of demographic charges, correct modifiers and payer information, and minimizing denials through accurate coding. Office-based in Pune with shift timing 7:30 PM - 4:30 AM.

Qualifications

• Experience in charge entry and RCMS operations.
• Proficient use of MS Access, Crystal Reports, and billing systems.
• Ability to interpret payer information and coding basics.

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

Data entry

Customer service

Attention to detail

Tools

MS Access

PowerPoint

Crystal Reports

Next Gen

Allscripts

Epic

Job description

Work Location & Shift Timing

Location: Pune (Work from Office).

Shift Timing: 7:30 PM - 4:30 AM.

Job Summary

Responsible for charge entry through the careful review of source data provided by clients with accurate recording of 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 and internet; ability to effectively use payer websites and Laserfiche; basic competence in use of Microsoft products.
• Preferred experience with MS Access, PowerPoint, Crystal Reports and various billing systems, such as Next Gen, Pro, Allscripts, Epic and others.

Benefits

• Quarterly Company-Wide Recharge Days.
• Peer-based incentive "Cheer" awards.
• Tuition Reimbursement Program.
• Through our generous benefits package with an emphasis on work/life balance, we give our employees the opportunity to allow their careers to flourish.

Links: https://veradigm.com/about-veradigm/careers/benefits/ https://veradigm.com/about-veradigm/careers/culture/

Equal Opportunity Employer

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