RCM Medical Billing Coordinator

Veradigm®; Maharashtra; On-site; INR 400,000 - 700,000; Full time

Benefits offered by this job

Quarterly Company-Wide Recharge Days

Cheer awards

Tuition Reimbursement Program

Job summary

Veradigm in Pune is seeking a Billing Specialist to manage charge entry, client communications, and timely resolution of information requests. The role focuses on accurate offshore charging, batch reconciliation, and adherence to policy.

You will map ICD-9, CPT, and modifiers, prepare charges for IHS, handle charge adjudication, and review batch status from IHS. The position requires attention to detail and strong service orientation.

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.
• Prepares charges for offshore operations and answers and resolves questions.
• Complete chargers and/or resolve charge and payment inquires for off-shore vendors.
• Prepares assigns and reconciles batches; provides ongoing communication and reviews discrepancy process.
• Reviews source codes; tallies Hash totals.
• Maps ICD nine, CPT, and modifiers as needed.
• Creates claim edit report for charge entries.
• Reconciles imputed payment postings and balances batch reports.
• Prep charges for IHS, indicate any modifiers needed on CPT codes, notate the codes for any handwritten DX, procedure, etc., return any charges to the Doctors office that require clarification.
• Complete batch once IHS enters by validating, verifying, clarifying/correcting any questions they may have had, and closing the batch.
• Import or enter Charges and post payments for Clients not placed with IHS.
• Work claim rejections for clients not with IHS and oversee the claim rejections worked by IHS for the clients placed with them making any corrections or taking any actions needed.
• Spot audit charge and payment batches completed by IHS to ensure all information is being entered accurately.
• Complies and enforces all policies and procedures related to the position, the department, and the company.
• Achieve goals set forth by supervisor regarding error-free work, transactions, processes, and compliance requirements.
• Demographic, charge and payment import posting (specific to our India based team)

Job description

• 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.


• Prepares charges for offshore operations and answers and resolves questions.


• Complete chargers and/or resolve charge and payment inquires for off-shore vendors.


• Prepares assigns and reconciles batches; provides ongoing communication and reviews discrepancy process.


• Reviews source codes; tallies Hash totals.


• Maps ICD nine, CPT, and modifiers as needed.


• Creates claim edit report for charge entries.


• Reconciles imputed payment postings and balances batch reports.


• Prep charges for IHS, indicate any modifiers needed on CPT codes, notate the codes for any handwritten DX, procedure, etc., return any charges to the Doctors office that require clarification.


• Complete batch once IHS enters by validating, verifying, clarifying/correcting any questions they may have had, and closing the batch.


• Import or enter Charges and post payments for Clients not placed with IHS.


• Work claim rejections for clients not with IHS and oversee the claim rejections worked by IHS for the clients placed with them making any corrections or taking any actions needed.


• Spot audit charge and payment batches completed by IHS to ensure all information is being entered accurately.


• Complies and enforces all policies and procedures related to the position, the department, and the company.


• Achieve goals set forth by supervisor regarding error-free work, transactions, processes, and compliance requirements.


• Demographic, charge and payment import posting (specific to our India based team)

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

Work Location - Pune (Work From office)

Shift Timing - 7.30PM to 4.30AM

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.