Rcm Optimization Specialist

Summary

Join Modernizing Medicine (ModMed) as an RCM Optimization Specialist! You will be part of a high-performing team focused on enhancing client success and retention for gastroenterology clients. Your role involves reviewing client documentation, monitoring metrics, conducting performance audits, and collaborating with the global team. You will need a Bachelor's degree or equivalent, 5 years of relevant experience, and strong communication and analytical skills. ModMed offers a competitive benefits package including health insurance, retirement benefits, paid time off, and professional development opportunities. This is a remote position.

Requirements

• Bachelor’s Degree or equivalent education and experience
• 5 Years RCM, Medical office, or billing administration
• Strong organizational skills
• Medical office workflow knowledge
• Excellent written, verbal, and interpersonal communication skills
• Analytical thinking and ability to problem-solve and synthesize information

Responsibilities

• Review and assess the medium-complexity client's discovery documentation and/ or live site (mmPM existing business) against BOOST processes and RCM Standard settings, making recommendations for configurations and pointing out nuances that fall outside of our RCM standard settings. This includes, but is not limited to, payer configuration recommendations
• Monitor client metrics against benchmark and pre-RCM (BOOST) metrics to ensure client success, and recommend improvement opportunities
• Conduct comprehensive performance audits of client practices to support best practices and optimal outcomes for all parties
• Communicate with the global team(s) related to clients’ new transition, and collaboration to ensure training and workflow opportunities are identified early on for the success of our clients and teams
• Stay current with system enhancements and process updates. Provide input to the team and the Lead for improvement ideas

Preferred Qualifications

• 4-year degree or CPC/CPB certifications
• Experience with gGastro

Benefits

• Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees
• 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
• Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk