RCM AR Specialist

Veradigm®

Work Location: Pune (Work from Office)

Shift Timings: (7:30 PM - 4:30 AM) IST

Key Responsibilities

• Strong customer service skills for client satisfaction and client AR health.
• Answering client, patient, and carrier calls; prompt return and follow-up to all interactions; prompt response to requests for information.
• Timely management of unpaid claims as assigned, through the use of the client’s office management/administrator, aging reports, correspondence, Clearinghouse and PM rejections, and SharePoint reference/maintenance.
• Effectively handle complex payer denials.
• Responsible to ensure that secondary claims are processed and paid.
• Monitoring and reconciliation of claims, to include:
• Held vouchers
• Unbilled vouchers
• Denial trends
• Patient balance report
• Credits and refunds
• Manage and track information requests to the client.
• Answer and resolve all incoming calls and requests in a timely manner.
• Complies with and enforces policies and procedures.
• Achieves goals set forth by RCM management regarding error-free work, transactions, processes, productivity, and compliance requirements. Specific goals include 1,400 accounts worked per month.
• May act as a partner for new hires to assist them in learning.
• Other duties as assigned.

Qualifications

• Strong customer service skills.
• Experience with client's office management/administrator.
• Experience with aging reports.
• Experience with correspondence.
• Experience with Clearinghouse and PM rejections.
• Experience with SharePoint.
• Ability to effectively handle complex payer denials.
• Ability to monitor and reconcile claims.
• Ability to manage and track information requests.
• Ability to answer and resolve incoming calls and requests in a timely manner.
• Ability to comply with and enforce policies and procedures.
• Ability to achieve goals set forth by RCM management.