RCM Payment Entry Specialist

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/ 

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

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