Veradigm is hiring an RCM Medical Billing Coordinator for its full-time, onsite team in Pune, India. The role focuses on medical billing operations, charge entry, payment posting, claim rejection management, batch reconciliation, and revenue cycle management (RCM).
The selected candidate will support billing accuracy, coordinate with offshore vendors, review account data, resolve discrepancies, and help improve accounts receivable collections for clients.
Job Details
| Particulars | Details |
|---|---|
| Company | Veradigm |
| Job Title | RCM Medical Billing Coordinator |
| Job Requisition ID | JR10954 |
| Location | Pune, India |
| Work Mode | Onsite |
| Employment Type | Full-time |
| Job Category | Medical Billing / Revenue Cycle Management |
Position: RCM Medical Billing Coordinator
The Medical Billing Coordinator is responsible for processing billing information accurately using appropriate software and supporting the revenue cycle process. The position also involves coordinating offshore operations, reviewing billing batches, managing claim rejections, and reconciling charges and payments.
Key Responsibilities
- Process medical billing information accurately to support accounts receivable collections.
- Prepare charges for offshore operations and resolve billing-related queries.
- Assign, prepare, and reconcile billing batches while communicating discrepancies.
- Review source codes and hash totals.
- Map ICD-9 codes, CPT codes, and modifiers as required.
- Generate claim edit reports for charge entries.
- Reconcile payment postings and batch reports.
- Review charges requiring clarification and coordinate with doctors’ offices when necessary.
- Validate, verify, correct, and close completed billing batches.
- Import or enter charges and post payments for clients not placed with IHS.
- Process claim rejections and oversee rejection resolution by offshore vendors.
- Conduct spot audits of charge and payment batches to verify accuracy.
- Handle demographic, charge, and payment import posting for the India-based team.
- Follow company policies, departmental procedures, and compliance requirements.
- Respond to client calls, information requests, and internal and external communications promptly.
Required Skills and Competencies
Based on the job description, the role requires:
- Strong customer service and communication skills.
- Accuracy in medical billing and charge processing.
- Knowledge of charge entry and payment posting workflows.
- Ability to reconcile billing batches and resolve discrepancies.
- Familiarity with ICD-9 codes, CPT codes, and modifiers.
- Claim rejection handling and correction.
- Attention to detail in billing audits and documentation.
- Ability to coordinate with clients, doctors’ offices, and offshore vendors.
- Commitment to error-free transactions and compliance requirements.
Employee Benefits
Veradigm lists the following benefits and programs:
- Quarterly company-wide Recharge Days.
- Peer-based incentive awards through the βCheerβ program.
- Tuition reimbursement program.
- Benefits and workplace culture resources available through the company’s official careers website.
