RCM Senior Operations Support Processor

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

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 Sr Operations Support Processor position is responsible for the processing of client insurance, patient deposits, client charges, hospital batches, correspondence, discrepancy notifications and incoming courier information from clients as well as preparing paper batches to be scanned into the Records Management System. The position is also responsible for importing and indexing FTP clients as well as batch request and discrepancy processing. Processor II is in charge of data entry auditing for Laserfiche only. Must be able to organize time well, multitask and accurately decipher any discrepancies within batches and report to management. Additionally, the position supports the company's overall Operations and Client Services departments.by efficiently and effectively driving the Revenue Cycle Management process and delivering results..

Main Duties

• Deposits - Separate and determine payments per Explanation of Benefits (EOB); Includes direct patient statement payments; Cash, Check, Credit Card Payments
• Charge Batches – Separate payments per superbills attached; Order of Cash, Check, Credit Card
• Deposits and Charges batches - confirms all information received is balanced and correct
• Manages and provides cash flow sheet information to clients and company
• Processes electronic checks for clients as well as CHMB; Process Credit card payments
• Verifies deposits and communicate errors and concerns to manager; Prepares deposit information to correct banks and clients and update Cash Flow and Laserfiche information; Accurate Data entry indexing into Laserfiche fields
• Oversees some of the company’s mailing and shipping processes; Open, terminate and/or transfer PO Boxes with USPS
• Processes batches for scanning in a certain order, which allows posting/billing to process as efficiently and quickly as possible
• Organizes Client Hospital batches in specific orders for scanning, normally involving large amounts of superbills
• Sorts and folds claims and preparing for outgoing mail; Couriers bag information to correct clients and office personnel
• Works with other employees and manager’s on pulling bad scans or re-scanning to ensure we have everything correct in our Records Management System
• Imports and indexes FTP files received from clients; Audits Laserfiche data entry in metadata fields
• Must maintain daily correspondence of successful and unsuccessful uploads with all FTP clients
• Processes internal batch request emails; Process discrepancies both internal and external from Charge batches with missing information
• Maintains CHMB processing and RMS documentation (batch headers, policies, FTP protocols and manager lists)
• Maintains internal training documentation regarding processing batch requests and discrepancies
• Creates folders for new clients in Laserfiche and on the FTP site as well as create new folders annually in
  

Laserfiche for all CHMB clients.

Academic Qualifications

• High School Diploma or GED (Required)
  

An Ideal Candidate Will Have

3+ years relevant work experience (Preferred)

• 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.
• Extensive knowledge on use of email, search engine, Internet, ten key; ability to effectively use client credit card websites and Laserfiche; knowledge and use of Microsoft Products: Outlook, Word, Excel
• Strong written, oral, and interpersonal communication skills
• Ability to present ideas in business-friendly and user-friendly language; highly self-motivated, selfdirected, and attentive to detail; team-oriented, collaborative;
• Ability to effectively prioritize and execute tasks in a high-pressure environment
• Ability to read and comprehend moderate instructions, correspondence, and memos
• Ability to write straightforward correspondence
• Ability to effectively present information in one-on-one and small group settings to customers, clients, and other employees of the organization
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions
• Ability to deal with problems involving several concrete variables in standardized situations
  

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/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 set? If so, please scroll down and tell us more about yourself!