Ar specialist

Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes.

Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information.

This is a fully remote position.

Support a Team of Go-Getters

With Veradigm Revenue Cycle Services (VRCS), professional billing experts help organizations ensure accurate billing and coding, and partner with them at every step of the revenue cycle.

Dedicated account managers deliver a comprehensive approach for improving the financial health of any practice.

Are you the right fit?

Are you passionate about revenue cycle? Do you do well in a virtual environment?

Job Summary :

Responsible for the overall recovery and management of accounts receivable as it relates to maximizing accounts receivable collections for RCMS clients.

The position involves detailed research and follow-up on medical insurance claims and the careful preparation of

appeals and responses to efficiently interact with insurance carriers and resolve the claim. Supports the RCMS BU's overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and achieving KPI results.

No budget responsibilities, but must meet established RCM KPI's.

What you will contribute :

• Strong customer service skills for client satisfaction and client AR health
• answering client, patient and carrier calls; prompt return and follow up to all interactions; prompt response to requests for information
• Timely management of unpaid claims as assigned, through the use of the client's office management / administrator;
• aging reports; correspondence; Clearinghouse and PM rejections; SharePoint reference / maintenance
• Effectively handle complex payer denials; responsible to ensure that secondary claims are processed and paid
• Monitoring and reconciliation of claims to include :
• Held vouchers
• Unbilled vouchers
• Denial trends
• Patient balance report
• Credits and refunds
• Manage and track information requests to client.
• Answer and resolve all incoming calls and requests in a timely manner.
• Complies with and enforces policies and procedures
• Achieves goals set forth by RCM management regarding error-free work, transactions, processes, productivity and compliance requirements.

Specific goals include 1,400 accounts worked per month

• May act as partner for new hires to assist them in learning
• Other duties as assigned

The ideal candidate will have :

• High School Diploma or GED Required
• 1 year relevant work experience Preferred
• Prior experience on Veradigm PM Preferred

Enhancing Lives and Building Careers

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development.

Take a look at our Culture , Benefits , Early Talent Program , and Additional Openings .

We strongly advocate that our associates receive all CDC recommended vaccinations in prevention of COVID-19.

Visa Sponsorship is not offered for this position.

Veradigm' policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category.

Applicants for North American based positions with Veradigm must be legally authorized to work in the United States. Verification of employment eligibility will be required as a condition of hire.

Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.

From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans

This is an official Veradigm Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site.

Thank you for reviewing this Veradigm opportunity! Does this look like a great match for your skill set? If so, scroll on down and tell us more about yourself!

Last updated : 2024-02-25