RCM Medical Billing Coordinator at Veradigm® in Pune, India

Job description

• 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.

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.
• Prepares charges for offshore 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 reports.
• Prep charges for IHS, indicate any modifiers needed on CPT codes, notate the codes for any handwritten 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.
• Demographic, charge and payment import posting (specific to our India based team)

Requirements

• 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 offshore 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 reports.
• Prep charges for IHS, indicate any modifiers needed on CPT codes, notate the codes for any handwritten 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.
• Demographic, charge and payment import posting (specific to our India based team)

Skills

Required

• Strong customer service skills
• Proficiency in medical billing software
• Attention to detail
• Effective communication skills
• Problem-solving skills

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/