Director RCM AR Operations

Summary

Join Modernizing Medicine (ModMed) as the Director of AR to spearhead the Accounts Receivable (AR) operations. This crucial role involves seamlessly transitioning AR work from Global Partners, continuously improving outcomes through best practices and automation, and building a high-performing AR team. You will develop and execute strategies to optimize front-end processes, manage claims, and ensure timely resolution of AR balances at the practice level. The position requires close collaboration with various ModMed teams across geographies and a focus on quality, productivity, and employee satisfaction. Continuous improvement initiatives, including automation and workflow enhancements, are key responsibilities. The ideal candidate will drive hiring efforts, maintain high employee satisfaction, and contribute to client escalation discussions.

Responsibilities

• Build and execute a strategy to ensure Front end processes are well defined in a way so that Claims are paid by payers in full and wherever possible, AR balances can be avoided
• Claims with balances are being worked within the expected time frame . Teams are designed in a way so that despite any spikes, backlog is maintained in permissible limits
• AR operations are planned based on DDIE ( Discover- Design- Implement- Execute) basis at a practice level
• Bring ownership to Practice AR and work with relevant Teams to ensure that AR at practice level is resolved timely wherever possible
• Practice KPIs are being monitored very closely to have a practice level focus
• Continuously improve the Quality and productivity of the deliverables by identifying the automation opportunities which can be implemented inside and out of the PM
• Drive the initiatives to plan and implement the CHANGE through improved workflows, decision trees, tech updates
• Will work closely with other Modmed Teams across geographies to develop world class practices. Collaboration and coordination within the AR Teams and other Modmed Teams is key to having a successful AR model
• Participate and contribute in Client Escalation discussions to improve retention for issues where a focused plan at Client level to be implemented
• Work with Quality and Training Team to ensure AR Teams are equipped with the required knowledge at a vertical and practice level . Director of AR will ensure that Teams are focused
• Director of AR will ensure that Teams are always meeting the expected Quality standards through focused audits and Quality Awareness programs
• Ensure that the best available workforce is timely hired which is compatible to the Modmed requirements from knowledge and cultural aspects. They will drive the hiring while working closely with the TA Teams so that capacity ramp up is executed as planned
• They will maintain high employee satisfaction while building strong relationships with Teams at all levels to make sure that employee attrition is always controlled with

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. 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
• 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