RCM Process Specialist
Offer summary
Qualifications:
Associate’s Degree in healthcare studies preferred., 2+ years of experience in a similar role; 2+ years of RCM experience preferred., Knowledge of medical billing/coding and healthcare business processes., Exceptional written, verbal, and interpersonal communication skills required..Key responsabilities:
- Review and assess incoming requests or cases to prioritize issues based on severity and impact.
- Maintain and update BOOST resources related to Best Practices and Practice Instructions.
- Provide updates and gather additional information to keep stakeholders informed of resolution progress.
- Complete tasks necessary to support the business and improve operational efficiency.
Job description
We are united in our mission to make a positive impact on healthcare. Join Us!
- South Florida Business Journal, Best Places to Work 2024
- Inc. 5000 Fastest-Growing Private Companies in America 2024
- 2024 Black Book Awards, ranked #1 EHR in 11 Specialties
- 2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold)
- 2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara)
Who we are:
We Are Modernizing Medicine (WAMM)! We’re a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed is based in Boca Raton, FL, with office locations in Santiago, Chile, Berlin, Germany, Hyderabad, India, and a robust remote workforce with team members across the US.
ModMed is hiring a driven RCM Process Specialist to join our positive, passionate, and high-performing RCM BOOST team focused on streamlining the ticketing review process, improving operational efficiency, and allocating resources effectively. This is an exciting opportunity to play a crucial role in enhancing overall service quality and operational performance within a fast-paced Healthcare IT company that is truly Modernizing Medicine!
Your Role:
- Review and assess the incoming requests or cases and use established criteria to prioritize issues based on severity and impact.
- Maintain and update BOOST resources as it relates to Best Practices and Practice Instructions.
- Maintain clear and effective communication with internal teams regarding directives that might not need operational support and or self serve options.
- Provide updates, gather additional information, and ensure stakeholders are informed of resolution progress.
- Complete tasks necessary to support the business.
Skills & Requirements:
- Associate’s Degree in healthcare studies preferred.
- 2+ years of experience in a similar role; 2+ years of RCM experience preferred.
- Attention to detail and decision-making abilities.
- Experience with JIRA, along with advanced data analysis tools and reporting software (i.e. Power BI).
- Exceptional written, verbal and interpersonal communication skills required.
- Knowledge of medical billing/coding, front-office, physician practice management and healthcare business processes.
- Strong understanding of various insurance carriers, including Medicare, private HMOs, and PPOs.
- Ability to manage and integrate information located in multiple software systems.
- Self-motivated; takes initiative.
- Capability to efficiently complete tasks in a fast paced environment.
- Ability to work independently as well as part of a large RCM team.
- Professional, patient and balanced approach to handling tasks of varying priority levels.
- Experience working with global vendors.
#LI-LM1
#REMOTE
ModMed Benefits Highlight: At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:
India
- Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk,
- Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees,
- Allowances: Annual wellness allowance to support your well-being and productivity,
- Earned, casual, and sick leaves to maintain a healthy work-life balance,
- Bereavement leave for difficult times and extended medical leave options,
- Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave,
- Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind.
United States
- Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution,
- 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
- Generous Paid Time Off and Paid Parental Leave programs,
- Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs,
- Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed,
- Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning,
- Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles,
- Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.
PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (first.lastname@modmed.com). Please check senders’ email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.
Required profile
Experience
Other Skills
- Decision Making
- Communication
- Detail Oriented
- Teamwork
- Self-Motivation
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