Ensures that medical billings and payment postings for Veradigm's clients are processed accurately and quickly. Works closely with offshore resources to reconcile payments and billings, monitors and reconciles batches to be closed timely, and completes balancing and reconciliation tasks within specified turnaround times. Reconciles payment postings, may oversee charge entry, and may have direct client interaction. Additionally, they assist the manager in reviewing and closing batches and may contribute to payment posting audits.

Responsibilities:

• Collaborates with teams to reconcile payments and billings accurately.
• Completes balancing and reconciliation tasks within the defined turnaround times.
• Prepares charges for offshore operations and answers and resolves questions.
• Reconciles payment postings and reviews discrepancies to ensure accuracy and compliance.
• Performs charge entry processes to maintain data integrity.
• May Interact directly with clients to address billing inquiries and resolve issues.
• May assist the manager in reviewing and closing batches for efficient billing cycles.
• May participate in payment posting audits to identify discrepancies and improve processes.

Knowledge, Skills and Abilities

• Strong customer service skills, including answering client calls, prompt return and follow-up to all interactions, and prompt responses to requests for information.
• Basic knowledge of email, search engine, Internet. Ability to effectively use payer websites and Laserfiche. Basic knowledge of Microsoft Products such as Outlook, Word, and Excel. Preferred experience with various billing systems, such as NextGen, Pro and Veradigm.
• Strong written, oral, and interpersonal communication skills, with the ability to present ideas in business-friendly and user-friendly language.
• Team-oriented and collaborative with the ability to effectively prioritize and execute tasks in a high-pressure environment.
• Ability to read, analyze and interpret complex documents.
• Ability to respond effectively and empathetically to sensitive inquiries or complaints from employees and clients.
• Ability to speak clearly and to make effective and persuasive arguments and presentations.
• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to use critical thinking skills to apply principles of logic and analytical thinking to practical problems.
• Familiarity with various medical plans.
• Familiarity with specialties such as Psychiatry, Internal Medicine, Orthopedics, General Surgery is a plus.

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

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!