RCM AR Specialist
Veradigm (company site, opens in a new tab)PuneOn-siteDirect career pageEst. 4–7 LPA
Posted on 11 Sept
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Job description
Structured overview of role & requirements
About This Role
- Manage and maximize accounts receivable collections for RCMS clients, focusing on recovery and ongoing account management.
- Conduct detailed research, prepare appeals, and respond to insurance carriers to resolve medical insurance claims efficiently.
- Drive the accounts receivable process to meet KPI targets, handling client, patient, and carrier communications and managing unpaid claims and denial resolutions.
Minimum Requirements
- Work Experience Required: Not explicitly mentioned in the JD.
- Knowledge of medical insurance claims, appeals process, and accounts receivable management in healthcare settings.
- Strong customer service skills for managing client and payer interactions via calls and correspondence.
- Ability to handle complex denial management including secondary claim processing and monitoring of claims status and reconciliations.
Ideal Candidate Profile
- Experienced in healthcare revenue cycle management with focus on claims follow-up, denial management, and accounts receivable optimization.
- Operationally driven with ability to meet high-volume work goals (e.g., 1,400 accounts worked per month) and deliver error-free transactions.
- Skilled in client communication and multitasking across multiple systems such as Clearinghouse, SharePoint, and various office management tools.