RCM Payment Entry Specialist
About this role
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.
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/
#LI-SL1
Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.
Thank you for reviewing this opportunity! Does this look like a great match for your skill set? If so, please scroll down and tell us more about yourself!
Frequently Asked Questions
Is the salary disclosed for the RCM Payment Entry Specialist position at veradigm?
Where is the RCM Payment Entry Specialist position at veradigm located?
Is the RCM Payment Entry Specialist role at veradigm full-time or part-time?
Which team or department does the RCM Payment Entry Specialist at veradigm belong to?
How do I apply for the RCM Payment Entry Specialist position at veradigm?
When was the RCM Payment Entry Specialist job at veradigm posted?
You'll be redirected to veradigm's official application page on Workday.