RCM Process Specialist

Modernizing Medicine, Inc.

130d

About The Position

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!

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.

Responsibilities

• 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.

Benefits

• 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.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees