Enterprise Rcm Client Advisor

Summary

Join Modernizing Medicine (ModMed) as an Enterprise RCM Client Manager! In this client-facing role, you will manage and report on the revenue cycle management (RCM) operations for large medical practice clients. You will collaborate with internal and global teams to achieve client KPIs and goals, providing exceptional customer service and resolving billing issues. This position requires strong analytical and communication skills, experience with medical billing and coding, and the ability to manage the end-to-end RCM process. The ideal candidate will have a proven track record of success in managing RCM performance for large medical practices. ModMed offers a competitive benefits package, including comprehensive health insurance, retirement benefits, paid time off, and professional development opportunities.

Requirements

• Bachelor's Degree preferred and/or training or equivalent combination of education and experience
• Proven experience experience in a client or practice facing role, managing the revenue cycle management performance for large medical practices (15+ providers) required
• 3+ years of related physician billing medical/RCM experience with experience developing and presenting revenue cycle management KPIs and month-end reports required, preferably to executive leaders
• Extensive knowledge of medical billing/coding, physician practice management, and healthcare business processes; strong understanding of various insurance carriers, including Medicare, private HMOs, and PPOs
• Advanced Excel skills such as the ability to use formulas to analyze data, create tables and pivot tables, formatting and conditional formatting
• Strong analytical and problem-solving skills required
• Exceptional written, verbal, and interpersonal communication skills required
• Professional demeanor required
• Ability to travel domestically up to 10%

Responsibilities

• Serve as the primary point of contact for enterprise-sized medical practice client(s) and develop and maintain strong client relationships to understand their unique RCM needs and challenges
• Conduct routine client meetings to review business metrics, progress, recommendations and other proactive topics to ensure high quality delivery of contracted services
• Provide a high-level of value and customer service to our enterprise client practices by identifying and efficiently working with RCM operations and the client to resolve insurance and other billing-related issues
• Manage and monitor the end-to-end RCM process for assigned clients and track RCM KPIs for clients, ensuring alignment with organizational goals and SLAs
• Collaborate with internal RCM operations and global team to improve client metrics and ensure seamless service delivery
• Conduct regular audits and assessments to proactively identify areas for improvement and optimization and collaborate with operational functions on aggressive strategies to facilitate positive client outcomes related to revenue cycle
• Establish, implement and manage Practice Performance Plans that identify, quantify and resolve issues that are impacting service levels and/or delivery of contractual obligations, as needed
• Review and analyze customer accounts; identify trends and issues, recommend and implement solutions and see through to a successful resolution
• Participate in sales calls as needed to demonstrate depth of domain expertise
• Serve as a subject matter expert on processes and workflows related to RCM Advisor role and maintain knowledge on current healthcare industry and specialty related changes
• Keep abreast with ModMed software enhancements and releases
• Perform additional projects and job duties as assigned

Preferred Qualifications

Medical billing and coding certification preferred

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