RCM Billing & Claims Coordinator - Offshore Ops

Responsibilities Answer client calls and promptly return and follow up on all interactions; respond to internal and external requests for information. Prepare charges for offshore operations and address queries. Complete chargers and resolve charge and payment inquiries for off‑shore vendors. Prepare, assign and reconcile batches; maintain ongoing communication and review discrepancy processes. Review source codes and tally Hash totals. Map ICD‑9, CPT, and modifiers as needed. Create claim edit reports for charge entries. Reconcile imputed payment postings and balance batch reports. Prep charges for IHS, indicate required modifiers on CPT codes, notate handwritten diagnosis/procedure codes, and return any charges needing clarification to the doctor’s office. Validate, verify, clarify or correct questions from IHS, then close the batch. Import or enter charges and post payments for clients not placed with IHS. Handle claim rejections for clients not with IHS and oversee claim rejections processed by IHS for clients placed with them, making necessary corrections. Spot audit charge and payment batches completed by IHS to ensure accurate data entry. Comply with and enforce all policies and procedures related to the position, department, and company. Achieve supervisor‑set goals for error‑free work, transaction accuracy, process compliance, and overall performance. Compensation and Benefits Compensation is based on market conditions, geographic considerations, individual skills and experience, state and local laws, and budget. Comprehensive benefits package includes holidays, vacation, medical, dental, vision insurance, company‑paid life insurance, and retirement savings. Visa sponsorship is not offered for this position. Equal Opportunity Statement Veradigm’s policy is to provide equal employment opportunity and affirmative action in all 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 any other legally protected category. Applicants for North American positions must be legally authorized to work in the United States or Canada, and verification of employment eligibility will be required as a condition of hire. #J-18808-Ljbffr LE1000 Veradigm LLC