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RCM Charge Entry Specialist

Allscripts(India) LLP, ultimately a subsidiary of Altera Digital Health Inc.,[Altera India]

1 - 6 years

4 - 8 Lacs

Pune

Posted:16 hours ago| Platform:

Apply

Skills Required

Usage MS Access Coding KPI Reconciliation Billing Healthcare Customer service microsoft Accounts receivable

Work Mode

Work from Office

Job Type

Full Time

Job Description

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

For more information, please explore Veradigm.com .

What will your job look like:

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 BUs 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 KPIs.

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)

An Ideal Candidate will have:

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)

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
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: -

https: / / veradigm.com / about-veradigm / careers / benefits /

https: / / veradigm.com / about-veradigm / careers / culture /

#LI-SL1

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

Thank you for reviewing this opportunity! Does this look like a great match for your skill setIf so, please scroll down and tell us more about yourself!

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Allscripts(India) LLP, ultimately a subsidiary of Altera Digital Health Inc.,[Altera India]

Healthcare Technology

Bangalore

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RCM Charge Entry Specialist