• Strong customer service skills; answering client calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally.
• Prepares charges for offshore operations and answers and resolves questions.
• Complete chargers and/or resolve charge and payment inquires for off-shore vendors.
• Prepares assigns and reconciles batches; provides ongoing communication and reviews discrepancy process.
• Reviews source codes; tallies Hash totals.
• Maps ICD nine, CPT, and modifiers as needed.
• Creates claim edit report for charge entries.
• Reconciles imputed payment postings and balances batch reports.
• Prep charges for IHS, indicate any modifiers needed on CPT codes, notate the codes for any handwritten DX, procedure, etc., return any charges to the Doctors office that require clarification.
• Complete batch once IHS enters by validating, verifying, clarifying/correcting any questions they may have had, and closing the batch.
• Import or enter Charges and post payments for Clients not placed with IHS.
• Work claim rejections for clients not with IHS and oversee the claim rejections worked by IHS for the clients placed with them making any corrections or taking any actions needed.
• Spot audit charge and payment batches completed by IHS to ensure all information is being entered accurately.
• Complies and enforces all policies and procedures related to the position, the department, and the company.
• Achieve goals set forth by supervisor regarding error-free work, transactions, processes, and compliance requirements.
• Demographic, charge and payment import posting (specific to our India based team)

Compensation for this job is subject to market conditions, geographic considerations, the candidate’s unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates’ unique contributions and support their professional growth.

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. Together, we are In the Network. Interested in learning more?

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

Visa Sponsorship is not offered for this position.

At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

Veradigm’s 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 or Canada. 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

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