RCM Charge Entry Specialist - MBC

Veradigm; Pune District; On-site; INR 400,000 - 650,000; Full time

Benefits offered by this job

Quarterly Company-Wide Recharge Days

Peer-based incentive “Cheer” awards

Tuition Reimbursement Program

Job summary

Veradigm in Pune, India is seeking a charge entry professional to review source data and accurately record demographics and charges tied to patient information and insurance.

You will support RCMS BU operations by driving accounts receivable processes, reducing denials with correct modifiers and codes, and meeting a 48-hour turnaround for charge batches. The role emphasizes customer service, timely responses, and policy adherence.

Responsibilities

• Strong customer service skills
• Answering client calls
• Prompt return and follow up to all interactions
• Timely input of demographic charges and time of service payment information
• Expert ability to add modifiers, payer-specific information, including authorization criteria, CPT and ICD codes
• Knowledgeable to append modifiers based on payer specifics
• Understand and interpret the Correct Coding Initiative (CCI)
• Reduce denials by correct use of modifiers, mapping, and linking codes with services
• Responsible for processing and discrepancy reconciliation and closing of charge batches across all systems
• Follow up on information requests to and from the clients
• Work with clients to facilitate information and resolve charge questions
• Aim for a 48-hour turnaround batch time
• Responsible for Claim Edit Reports and Unassigned Money Reports
• Complies with policies and procedures
• Achieve goals set forth by RCM Management regarding error-free work, transactions, processes, productivity and compliance requirements

Job description

JOB SUMMARY

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.

ESSENTIAL FUNCTIONS/MAJOR 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

Benefits

• 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.

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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.

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