RCM Charge Entry Specialist

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.

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.

We are an Equal Opportunity Employer. No job applicant or employee shall receive less favorable treatment or be disadvantaged because of their gender, marital or family status, color, race, ethnic origin, religion, disability or age; nor be subject to less favorable treatment or be disadvantaged on any other basis prohibited by applicable law.

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Responsible for charge entry through the careful review of source data provided by clients with accurate recording demographics and charges associated with patient information and insurance.

Supports the RCMS BU's overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and achieving KPI results.

No budget responsibilities, but must meet established RCM KPI's.

Main Duties:

• •  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
    
    • Timely input of demographic charges and time of service payment information
    
    • Expert ability to add specific data such as modifiers, payer specific information, including authorization
    criteria, CPT and ICD codes and date of injury (DOI)
    
    • Knowledgeable to append modifiers based on payer specifics, insurance and authorization requirements
    and referring physicians' unique attributes
    
    • Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry work
    
    • Reduce denials by correct use of modifiers, mapping, and linking codes with services
    
    • Responsible for the processing and discrepancy reconciliation and closing of charge batches across all
    systems
    
    • Successfully and effectively track and follow up on information requests to and from the clients.
    
    • Work with clients and others to facilitate information and resolve charge questions
    
    • Achieve goal of a 48-hour turnaround batch time
    
    • Responsible for Claim Edit Reports and Unassigned Money Reports
    
    • Complies and enforces all policies and procedures
    
    • Achieve goals set forth by RCM Management regarding error-free work, transactions, processes,
    productivity and compliance requirements
    
    • Other duties as assigned

Academic Qualifications:

• • High School Diploma or GED (Required)

1+ year relevant work experience (Preferred)

• • • Extensive knowledge with email, search engines, Internet; ability to effectively use payer websites and
    Laserfiche; basic competence in use of Microsoft products. Preferred experience with MS Access and
    PowerPoint, Crystal reports and various billing systems, such as Next Gen, Pro, Epic and
    others.

Work Arrangements: Work from Pune Office all 5 days.

Shift Timing: 7:30 PM IST to 4:30 AM IST (US Shift)

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
• "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: -

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

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