RCM Medical Billing Coordinator

Veradigm

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.

For more information, please explore Veradigm.com.

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.

The identification of Duties and Responsibilities does not display an exhaustive list of all duties that may be assigned to this position, nor does it restrict the related work that may be assigned to this position.

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  Prepares charges for off shore 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 report.
    • Prep charges for IHS, indicate any modifiers needed on CPT codes, notate the codes for any hand written 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  Other duties as assigned

An Ideal Candidate will have:

• Technical: Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites and Laserfiche; knowledge and use of Microsoft Products: Outlook, Word, Excel. Preferred experience with various billing systems, such as NextGen, Pro and Allscripts.

  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.

  Math & Reasoning:

  Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to use critical thinking skills to apply principles of logic and analytical thinking to practical problems.

Academic Qualifications:

• High School Diploma or GED
• 1-3 years of experience in same/related field

Work Arrangements: Work from Pune Office (US Shift - 7:30 PM IST to 4:30AM IST)

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: -

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

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