RCM Charge Entry Specialist - MBC

Francisco Partners; Pune District; On-site; INR 300,000 - 600,000; Full time

Benefits offered by this job

Quarterly Company-Wide Recharge Days

Peer-based incentive Cheer awards

Tuition Reimbursement Program

Job summary

Veradigm is seeking a detail-oriented Charge Entry Specialist to support accounts receivable operations. The role involves accurate transcription of patient demographics and charges, along with coding using CPT/ICD and payer information.

You will help reduce denials and ensure timely batch processing, while aligning with KPI targets. The position requires strong communication with clients and internal teams, adherence to compliant coding standards, and diligent follow-up on information requests

Qualifications

• Experience in charge entry and accounts receivable processes.
• Strong customer service and communication skills.
• Ability to interpret CPT/ICD codes and modifiers.

Responsibilities

• Review source data and accurately record demographics and charges.
• Input demographic charges and service payment information promptly.
• Add CPT/ICD codes and payer information with accuracy.
• Understand CCI and apply it to charge entry tasks.
• Reduce denials by correct coding and mapping.
• Process charge batches and reconcile discrepancies across systems.
• Communicate with clients to resolve charge questions and follow up.
• Maintain 48-hour turnaround for batch processing.
• Prepare and review Claim Edit and Unassigned Money reports.
• Comply with policies, procedures, and KPIs.

Skills

Customer service

Attention to detail

Charge entry

CPT/ICD coding

Data accuracy

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

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.