RCM Medical Billing Coordinator

Allscripts; Pune District; On-site; INR 300,000 - 540,000; 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 is seeking a billing specialist to manage charges, map ICD nine, CPT and modifiers, and prepare/close batches for offshore operations.

You will respond to client and vendor inquiries, post payments, reconcile batches, and ensure accuracy and compliance with company policies in a dynamic, offshore-support environment.

This is a night shift position with work from office in Pune and strict adherence to process controls.

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 inquiries for offshore 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

Job Details

• Work Location - Pune (Work from Office)
• Shift timings - (7:30 PM - 4:30 AM) IST

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 inquiries for offshore 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

• Quarterly Company-Wide Recharge Days
• Peer-based incentive "Cheer" awards
• Tuition Reimbursement Program

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