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Veradigm
RCM Payment Entry SpecialistVeradigm • Pune, India
RCM Payment Entry Specialist

RCM Payment Entry Specialist

Veradigm • Pune, India
30+ days ago
Job description
Work Location - Pune (Work from Office)

Shift timings - (7:30 PM - 4:30 AM) IST

Post ERA/EOB payments (electronic and manual) from commercial, government, and managed care payers, matching payments to corresponding claims accurately.

Apply contractual adjustments, co-insurance, co-pay, and deductible amounts per payer contract terms.

Post patient payments received via front desk collections, online portals, mail, lock-box, and phone payments.

Process zero-pay remittances, denial codes, and reason/remark codes, routing to appropriate AR follow-up queues.

Reconcile daily payment batches against bank deposits and lock-box reports, identifying and resolving variances same-day.

Identify and flag credit balances and overpayments for refund processing. Handle payer recoupment notices, offset letters, and take-back transactions.

Maintain posting turnaround within established SLA (typically ≤24 hours from receipt).

Ensure accuracy of payment posting at ≥99% accuracy rate with <1% dollar variance tolerance. Comply with HIPAA, CMS, and organizational financial policies in all posting activities.

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.

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RCM Payment Entry Specialist • Pune, India

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