RCM Team Lead

Veradigm Inc.; Pune District; On-site; INR 900,000 - 1,500,000; Full time

Benefits offered by this job

Quarterly Company-Wide Recharge Days

Peer-based incentive “Cheer” awards

Tuition Reimbursement Program

Job summary

Veradigm Inc. in Pune, India, is seeking an RCM Team Lead to ensure accurate and timely AR processes for clients. You will act as a subject matter expert, resolve complex AR issues, and maintain compliant billing records while guiding team performance.

The role requires leading the AR cycle, assisting with client onboarding and offboarding, and implementing process improvements to enhance efficiency. Onsite full-time position with a focus on delivering accurate financial records.

Responsibilities

• Respond to internal and external client inquiries and requests for information.
• Escalate issues to RCS Management related to clients and staff.
• Monitor accounts receivable to ensure timely claim resolution.
• Train new hires and answer questions from less experienced associates.
• Assist with implementing new clients and offboarding client terminations.
• Reconcile account discrepancies and prepare AR status reports.

Job description

## RCM Team LeadApply: Onsite: Pune, India: Full time: Posted Today: JR10950**JOB SUMMARY**Ensures the accurate and timely execution of accounts receivable processes within the Revenue Cycle Services team with the goal of maximizing accounts receivable collections for Veradigm's clients. Executes accounts receivable processes and serves as a subject matter expert for the team to resolve complex accounts receivable issues. Maintains accurate and up-to-date billing records, follows up on outstanding medical billing claims and patient payments, and resolves billing issues. Works closely with other team members to ensure that payments are collected in a timely manner and that financial records are kept in strict compliance with company and client policies and regulations. Assists management in evaluating team members' performance and identifying training needs.**ESSENTIAL FUNCTIONS/MAJOR JOB RESPONSIBILITIES*** Promptly responds to internal and external client inquiries, interactions, and requests for information.* Acts as the initial point of contact for team members regarding technical work questions, processes, and procedures and provides guidance on work matters.* Escalates issues to RCS Management related to clients and staff.* Monitors and manages accounts receivable (AR) to ensure timely claim resolution* Organizes, identifies and improves workflow with team members and management through daily and weekly productivity reports. Escalates challenges, concerns, and needs for assistance to RCS Management.* Maintains the ability to perform the duties of the Payment Entry Specialist, Charge Entry Specialist, and/or AR Specialist.* Serves as the team's subject matter expert regarding the claims process, complex claims, AR issues, and claims software.* Monitors team productivity and generates reports on team performance. Assists management in identifying performance issues.* Trains new hires and answers questions from less experienced associates.* Assists with implementing new clients and offboarding client terminations.* Reconciles account discrepancies by investigating documentation, issuing credit memos, and processing adjustments.* Maintains accurate financial records and prepares reports on the status of the AR.* Monitors and reconciles claims, including held vouchers, unbilled vouchers, denial trends, patient balance report, credits, and refunds.* Effectively handles complex payer denials.* Processes and pays secondary claims.* Communicates with clients and medical insurance carriers to resolve billing queries.* Assists with financial audits by providing necessary documentation and explanations for AR processes.* Implements process improvements to enhance the efficiency of the AR cycle.**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 ProgramTo 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/#LI-SL1Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.Thank you for reviewing this opportunity! Does this look like a great match for your skill set? If so, please scroll down and tell us more about yourself!