RCM AR Specialist
Veradigm (company site, opens in a new tab)PuneOn-siteDirect career pageEst. 3.5–6 LPA
Posted on 16 Sept
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Job description
Structured overview of role & requirements
About This Role
- Manage and maximize accounts receivable collections for RCMS clients through detailed research and follow-up on medical insurance claims.
- Prepare appeals and responses to resolve claim issues efficiently with insurance carriers, ensuring timely management of unpaid claims and complex payer denials.
- Achieve KPIs such as working on 1,400 accounts per month and maintain compliance with policies and productivity goals; may assist new hires in onboarding.
Minimum Requirements
- Work Location: Pune (Work from office) with shift timing 7:30 PM to 4:30 AM.
- Experience Required: Not explicitly mentioned in the JD.
- Strong knowledge of medical insurance claim processes and accounts receivable management mandatory.
- Customer service skills required for handling client, patient, and carrier calls effectively.
Ideal Candidate Profile
- Experienced in healthcare revenue cycle management or medical billing focused on accounts receivable.
- Capable of handling high-volume claims management and complex denials with attention to detail and regulatory compliance.
- Able to work night shifts in an office setting and handle client interactions professionally for optimal AR health.