RCM Process Specialist

Posted 3 Days Ago
Be an Early Applicant
Hiring Remotely in United States
Remote
1-3 Years Experience
Healthtech • Software • Telehealth
The Role
As an RCM Process Specialist, you will prioritize incoming requests and ensure effective resolution while maintaining communication within the team. Your role includes updating best practices, managing information across systems, and supporting the revenue cycle management process.
Summary Generated by Built In

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 Revenue Cycle Management team focused on evaluating incoming requests, cases, or incidents to ensure timely and effective resolution. This is an exciting opportunity to work within a fast-paced Healthcare IT company that is truly Modernizing Medicine!

Your Role:

  • Review and assess the incoming requests or cases. 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:

  • Associates Degree preferred
  • 2 years of previous RCM experience.
  • Attention to detail and decision-making abilities.
  • Experience 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.
  • Experience working with global vendors preferred.

#LI-KM1

#LI-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, including:

  • 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.

Top Skills

Power BI
The Company
HQ: Boca Raton, FL
1,153 Employees
On-site Workplace
Year Founded: 2010

What We Do

ModMed is transforming healthcare by placing doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. With our electronic health records (EHR) and practice management (PM) systems, and our revenue cycle management (RCM) services, our all-in-one solution empowers specialty medical practices to do their best work by providing them with clinical, financial and operational software solutions designed to enable better, more personalized patient care. Our staff physicians help to develop products and services for dermatology, gastroenterology, ophthalmology, orthopedics, otolaryngology, pain management, plastic surgery, podiatry and urology practices, as well as ambulatory surgery centers. For more information, visit www.modmed.com.

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