RCM AR Specialist
Veradigm (company site, opens in a new tab)PuneOn-siteDirect career pageEst. 4–7.5 LPA
Posted on 16 Sept
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Job description
Structured overview of role & requirements
About This Role
- Manage accounts receivable processes focusing on customer service and client satisfaction for multiple stakeholders including patients and carriers.
- Handle unpaid claims lifecycle through client’s management systems, including aging reports, denials, and reconciliations to ensure payment collection and accurate claim processing.
- Track and resolve complex payer denials, monitor secondary claims, and manage exception reports such as held/unbilled vouchers and denial trends to maintain AR health and compliance.
Minimum Requirements
- Work Location: Pune with mandatory work from office during night shift (7:30 PM to 4:30 AM).
- Experience Required: Not explicitly mentioned in the JD.
- Strong customer service orientation focused on clients and AR management.
- Must be proficient with clearinghouse, PM rejections, SharePoint, and managing complex claims and denials.
Ideal Candidate Profile
- Experienced in accounts receivable management in healthcare or medical billing environment with handling payer denials and secondary claims processing.
- Operates effectively in high-volume, goal-driven environments, meeting targets such as managing 1,400 accounts monthly with accuracy and compliance.
- Comfortable working night shifts and collaborating in process improvement or as a knowledge partner for new hires.