RCM Performance Analyst

Modernizing Medicine • Boca Raton, FL

55d • Remote

About The Position

ModMed is hiring a driven RCM Performance Analyst to join our positive, passionate, and high-performing RCM Operations team focused on conducting in-depth analysis of revenue cycle data, performance metrics, and industry trends to derive actionable insights. This is an exciting opportunity to provide strategic recommendations to optimize revenue cycle processes within a fast-paced Healthcare IT company that is truly Modernizing Medicine! By identifying patterns, trends, and anomalies, the RCM Performance Analyst provides strategic recommendations to optimize revenue cycle processes and improve financial outcomes.

Requirements

• Minimum of 3 years of previous RCM experience.
• Ability to analyze financial and operational data to identify trends and discrepancies.
• Proficiency in data analysis tools (i.e. Excel, Google Sheets, etc) and experience with data software (i.e. Power BI).
• Strong analytical skills to address complex issues and develop effective solutions.
• Analytical thinking, attention to detail and decision-making abilities.
• 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.
• Professional, patient and balanced approach to handling tasks of varying priority levels.
• Ability to work independently as well as part of a large RCM team.

Nice To Haves

• Experience working with global vendors, preferred.

Responsibilities

• Perform in-depth analysis of financial data, including claims, denials, and payment trends. Use data analytics tools to identify patterns and areas for improvement.
• Investigate and resolve issues related to billing errors, denials, and other common trends across BOOST. Collaborate with stakeholders to address root causes and implement solutions.
• Investigate the root causes of escalations, coordinate with internal teams to resolve problems, and ensure timely and satisfactory resolution. Maintain clear communication with the Client Success teams throughout the process.
• Prepare and present reports by generating periodic financial reports for management, highlighting key metrics and trends. Present findings and recommendations to support strategic decision-making

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Ambulatory Health Care Services
• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees