Rcm Medical Billing Coordinator

5 months ago

Pune Maharashtra, India Veradigm Asia Full time

Welcome to Veradigm Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information.

**Veradigm**:
Veradigm is here to transform health, insightfully. Veradigm delivers a unique combination of point-of-care clinical and financial solutions, a commitment to open interoperability, a large and diverse healthcare provider footprint, along with industry proven expert insights. We are dedicated to simplifying the complicated healthcare system with next-generation technology and solutions, transforming healthcare from the point-of-patient care to everyday life.

**What will your job look like**:
The Billing Coordinator position is responsible for processing billing information within the appropriate software efficiently and accurately on a consistent basis to maximizing accounts receivable collections for clients. The position is additionally responsible for the coordination and oversight of data received by outside vendors, such as the India outsource. The position supports the company's overall Operations and Client Services by efficiently and effectively providing and reviewing account data needed for the Revenue Cycle process and delivering results.

**ESSENTIAL FUNCTIONS/MAJOR JOB 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)

**Education**:

- Bachelor's degree or equivalent preferred.

**Work Experience**:

- 1-2 years of relevant work experience in RCM Billing preferred.

**Working Arrangements**:

- Remote, India.

**Knowledge, Skills, and Abilities**:

- Personal: Strong written, oral, and interpersonal communication skills; Ability to present ideas in business-friendly and user-friendly language; Highly self-motivated, self-directed, and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high-pressure

environment.
- Communication: Ability to read, analyze and interpret complex documents. Ability to respond effectively to sensitive inquiries or complaints from employees and clients. Ability to speak clearly and to make effective and persuasive arguments and presentations.
- Knowledge of CPT, ICD10 and modifiers.
- Familiar with HMO and IPAs, Medicare Fee for Service Plans and Commercial Payers
- Experience in specialties such as Psychiatry, Internal Medicine, Orthopedics, General Surgery is a plus

**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
- Flexible Work Environment (Remote/Hybrid Options)
- Peer-based incentive "Cheer" awards
- "All in to Win" bonus Program
- Tuition Reimbursement Program

To know more about the benefits and culture at Veradigm, please visit the links mentioned below:

Veradigm is proud to be an e

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