Rcm Client Manager

Summary

Join ModMed's high-performing RCM team as an RCM Client Manager! In this client-facing role, you will manage client relationships, revenue cycle activities, and performance of assigned medical practices. You will analyze A/R data, develop action plans, and build strong client relationships. This position requires strong analytical and communication skills, along with extensive knowledge of medical billing and coding. The ideal candidate will have 3+ years of experience in RCM for medical practices. ModMed offers a competitive benefits package including 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
• 3+ years of experience overseeing the entire revenue cycle management process for medical practices, including analyzing AR, denial trends, and payer issues, and developing and presenting key performance indicators (KPIs) and reports related to revenue cycle management
• Extensive knowledge of medical billing/coding, front-office, physician practice management, and healthcare business processes
• 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
• Exceptional written, verbal and interpersonal communication skills
• Excellent client-facing and presentation skills
• Ability to manage and integrate information located in multiple software systems
• Strong understanding of various insurance carriers, including Medicare, private HMOs, and PPOs
• Professional demeanor

Responsibilities

• Serve as the primary point of contact for ModMed's RCM clients, managing and monitoring their end-to-end revenue cycle management processes
• Analyze A/R data to identify payer, denial, and coding trends. Develop action plans to increase revenue and improve workflows
• Develop and maintain strong client relationships to understand their unique RCM needs and challenges and ensure Client Key Performance Indicator benchmarks are met
• Provide a high-level of value and customer service to both our client practices and their patients by identifying and efficiently resolving insurance and other billing-related issues
• 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
• Conduct routine audits and client meetings to review business metrics, progress, and other proactive topics to ensure high-quality delivery of contracted services
• Collaborate with the internal RCM operations team to ensure seamless service delivery
• Review and analyze customer accounts; identify trends and issues, recommend and implement solutions and see through to a successful resolution
• Work closely with global partners to coordinate and optimize RCM processes and improve overall client metrics
• Manage and escalate complex issues to the appropriate internal teams or global partners for resolution
• Maintain knowledge of current healthcare industry and specialty-related changes and keep abreast with ModMed software enhancements and releases
• Promote collaborative relationships with operational leadership and on and offshore partners
• Participate in sales calls as needed to demonstrate depth of domain expertise
• Perform additional projects and job duties as assigned

Preferred Qualifications

Proven experience in an RCM client-facing role

Benefits

• 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
• 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