Welcome to Veradigm! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes. Our Vision is a Connected Community of Health that spans continents and borders. With the largest community of clients in healthcare, Veradigm is able to deliver an integrated platform of clinical, financial, connectivity and information solutions to facilitate enhanced collaboration and exchange of critical patient information.
Support a Team of Go-Getters
The Account Manager/Client Success Expert is a core member of the Veradigm team accountable for driving client satisfaction in Veradigm product(s). You’ll participate in product implementations; on-going quality customer service contact and response; client training and knowledge of software and software updates; managing reported issues, and requests for enhancements and regulatory change impacts and reporting on same.
This position requires an individual with a strong healthcare, claims and/or encounters, as well as extensive customer service background. The role requires you to troubleshoot, precisely document issues and requirements, develop change requests, and work with counterparts to develop technical solutions to business problems.
What you will contribute
- Acquire and maintain expert knowledge of healthcare claims, and CMS and/or State Encounter data submission requirements, guidelines and methodology.
- Acquire and maintain expert knowledge of federal and state risk adjustment models, methodology and protocol.
- Be a leader during client implementations, and act as a team member to directly interface with clients/vendors to identify and document comprehensive functional business requirements and to support the technical solution development.
- Post-implementation, you’ll remain client-facing and use excellent customer service methodology and investigative techniques to receive, interpret, troubleshoot and resolve client-reported issues in a timely and comprehensive manner.
- Monitor through appropriate Statement of Work or Change Request documents all business requirement change due to client business needs, regulatory changes, as well as supports the rollout of software enhancement.
- Provide expert guidance on behalf of client(s) to improve RAPS, EDPS, EDGE, Medicaid and/or ADPC submission and error rates and risk adjustment outcomes.
- Provide status reporting on open and resolved technical issues including communications to clients through weekly status meeting participation, system Release Notes and Knowledge Base updates.
The ideal candidate will have
- Top-notch customer service skills
- You’ve been working for 5–7 years
- You have in-depth knowledge of claim processing rules and related edits employed by CMS and/or States for encounter filing and/or regulatory data submissions for EDGE and APCD
- You have some experience with HIPAA/EDI X12 v5010 healthcare related file formats
- You have in-depth knowledge of health data code sets, such as ICD-10, CPT/HCPCS, Revenue Codes, etc.
- You’re proficient with regulatory requirements associated with HIPAA, CAQH CORE, Affordable Care Act; State Medicaid
Preferred, but not required:
- You’re can assist with developing user materials
- You’re proficient in SQL language
- You’re proficient in best practices development and business process improvement
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.