Med Claims AR Specialist (Hybrid)

Veradigm®; Raleigh (NC); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

Retirement savings plan

Paid time off

Job summary

Veradigm is seeking an Accounts Receivable Specialist to manage AR recovery for RCMS clients, researching medical insurance claims and preparing appeals to interactions with carriers. The role supports Operations and Client Services to drive AR processes and achieve KPI results.

Hybrid position with 2 in-office days per week and no budget responsibilities. Key duties include timely management of unpaid claims, handling denials, and ensuring accurate patient balance and refunds while adhering to

Qualifications

• 1+ year relevant work experience.
• Prior experience on Allscripts PM (preferred).

Responsibilities

• Manage unpaid claims and aging reports to maximize collections.
• Investigate and resolve payer denials and secondary claims.
• Prepare appeals and responses to carriers.
• Respond to inquiries promptly and provide excellent client service.
• Meet KPI targets such as 1,400 accounts worked per month.

Skills

Customer service

Attention to detail

Communication

Time management

Problem solving

Tools

Allscripts PM

MS Access

PowerPoint

Crystal Reports

NextGen

Epic

Pro

Laserfiche

SharePoint

Job description

Veradigm is seeking an Accounts Receivable Specialist to manage AR recovery for RCMS clients, researching medical insurance claims and preparing appeals to interactions with carriers. The role supports Operations and Client Services to drive AR processes and achieve KPI results.

Hybrid position with 2 in-office days per week and no budget responsibilities. Key duties include timely management of unpaid claims, handling denials, and ensuring accurate patient balance and refunds while adhering to