Job Summary

Responsible for charge entry through the careful review of source data provided by clients with accurate recording demographics and charges associated with

patient information and insurance. Supports the RCMS BU's overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and achieving KPI results.

Essential Functions/Major Job Responsibilities

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
Timely input of demographic charges and time of service payment information
Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD codes and date of injury (DOI)
Knowledgeable to append modifiers based on payer specifics, insurance and authorization requirements and referring physicians unique attributes Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry work
Reduce denials by correct use of modifiers, mapping, and linking codes with services
Responsible for the processing and discrepancy reconciliation and closing of charge batches across all systems
Successfully and effectively track and follow up on information requests to and from the clients.
Work with clients and others to facilitate information and resolve charge questions
Achieve goal of a 48-hour turnaround batch time
Responsible for Claim Edit Reports and Unassigned Money Reports
Complies and enforces all policies and procedures
Achieve goals set forth by RCM Management regarding error-free work, transactions, processes, productivity and compliance requirements

Benefits

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work. Through our generous benefits package with an emphasis on work/life balance, we give our employees the opportunity to allow their careers to flourish.

Quarterly Company-Wide Recharge Days
Peer-based incentive Cheer awards
Tuition Reimbursement Program

To know more about the benefits and culture at Veradigm, please visit the links mentioned below: -

https://veradigm.com/about-veradigm/careers/benefits/

https://veradigm.com/about-veradigm/careers/culture/

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

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RCM Charge Entry Specialist - MBC