RCM Clerk

Francisco Partners; Raleigh (NC); On-site; USD 32,000 - 42,000; Full time

Job summary

Veradigm is seeking an office-based administrative support specialist to assist the Revenue Cycle Services Accounts Receivable team in expediting claim submissions and processing paper documentation. Duties include retrieving medical records, benefits, and supporting documents, and preparing mailings.

Ideal candidates will be proficient with payer portals, Laserfiche, and MS Office, with familiarity in billing systems such as NextGen, Pro, Epic, and Veradigm.

Qualifications

• Proven ability to use payer portals and Laserfiche.
• Proficient with Microsoft Office (Outlook, Word, Excel, PowerPoint).
• Knowledge of billing systems such as NextGen, Pro, Epic and Veradigm preferred.
• Strong written and oral communication; detail oriented.

Responsibilities

• Retrieves medical records from hospitals or providers and attaches to documents.
• Retrieves explanation of benefits and attaches to forms.
• Retrieves supporting documentation and prepares for mailing.
• Prints, folds, stuffs and prepares documents for mailing.

Skills

Payer portals proficiency

Laserfiche

MS Office Suite

Communication skills

Attention to detail

Prioritization

Organization

Reading comprehension

Oral/written presentation

Tools

NextGen

Pro system

Epic

Veradigm

Crystal reports

Job description

JOB SUMMARY

Supports the Revenue Cycle Services Accounts Receivable team with office-based administrative tasks to expedite the turnaround of claim submissions and the processing of paper documentation. Mails billing and claims submissions, prints and scans hard copies of billing and claims that require paper processing, and assists with special administrative projects.

ESSENTIAL FUNCTIONS/MAJOR JOB RESPONSIBILITIES

• Retrieves medical records from hospitals, healthcare providers, or practice groups and attaches information to the appropriate documents as needed.




• Retrieves explanation of benefits from proprietary software and attaches to the appropriate documents, such as claim forms.




• Retrieves supporting documentation from proprietary software and prepares for mailing.




• Prints, folds, stuffs and prepares documents for mailing.

Knowledge, Skills and Abilities

• Ability to effectively use payer websites and Laserfiche




• Ability to use Microsoft Office Suite: Outlook, Word, Excel, and PowerPoint




• Knowledge of Crystal reports and various billing systems, such as NextGen, Pro, Epic and Veradigm preferred




• Effective written, oral, and interpersonal communication skills




• Keen attention to detail




• Ability to effectively prioritize and execute tasks in a high-pressure environment




• Excellent organizational skills




• Ability to read and comprehend instructions, short correspondence, and memos




• Ability to write simple correspondence and to effectively present information in a one-on-one and/or small group situations, such as clients, patients, and other employees in the organization

Compensation for this job is subject to market conditions, geographic considerations, the candidate's unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates' unique contributions and support their professional growth.

Enhancing Lives and Building Careers

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?

Visa Sponsorship is not offered for this position.

At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

Veradigm's policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.

From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans