Jobs Companies Veradigm RCM Payment Entry Specialist

About this RCM Payment Entry Specialist role at Veradigm

Veradigm · Onsite · Pune, India

JOB SUMMARY

The Payment Entry Specialist position is responsible for the timely and accurate posting of payments and identifying adjustments. The position supports the company's overall Operations and Client Services by efficiently and effectively providing accurate and timely input needed for the Revenue Cycle process and delivering results.

Job Responsibilities:

  • 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 posting of payments and identifying adjustments.
  • Expert ability to input specific data and review patients’ issues and credits.
  • Knowledgeable of medical EOB’s, patient deductibles and co-pays, and insurance or third-party correspondence.
  • Ability to recognize client contracts and identify differences in payments.
  • Ability to successfully track and follow up on information requests to and from the clients.
  • Ability to conduct a contract rate audit and provide notification to Supervisor of underpaid or pay equal charges.
  • Effectively work with clients and groups to facilitate information and resolve charge questions.
  • Capable to create a credit/debit report and denial report in order to provide critical information to the AR Specialist.
  • Timely and efficient input and reconciliation of batches.
  • 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.

Knowledge, Skills and Abilities:

  • 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.
  • Accounting skills preferred

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

  • 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/ 

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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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About Veradigm

Welcome to Veradigm, where our Mission is transforming health, insightfully. Join the Veradigm team and help solve many of today’s healthcare challenges being addressed by biopharma, health plans, healthcare providers, health technology partners, and the patients they serve. At Veradigm, our primary focus is on harnessing the power of research, analytics, and artificial intelligence (AI) to develop scalable data-driven solutions that bring significant value to all healthcare stakeholders. Together, we can transform healthcare and enable smarter care for millions of people.

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