Remote RCM Analyst

Summary

Join a team of passionate problem-solvers at Modernizing Medicine (ModMed) as an Accounts Receivable Analyst. This key position is responsible for resolving claims with insurance balances, running reports, and ensuring timely follow-up to save claims from getting written off.

Requirements

• 2+ years of experience as AR Follow-ups (Voice) in Physician RCM is a must
• Sound knowledge of working on Billing scrubbers and CH/Payer Rejections
• Understanding of other related functions in the RCM is required
• Proven experience of good Cash collected/Resolution rate
• Strong knowledge of Commercial & Federal payers, basic Coding concepts & CARC codes
• Knowledge of working and resolving Auto, WC , IPAs etc. is required
• Expert in listening and resolving problems
• Ability to interact positively with team members, peer groups, and seniors
• Being proficient in delivering a high-quality outcome is a must
• Capable of grasping new concepts quickly; Able to comprehend various training aids and process documentation
• Excellent written and verbal communication skills
• Strong knowledge of HIPAA guidelines

Responsibilities

• Responsible for working assigned claims and running reports to identify claims that require a follow-up and resolve the denial by taking appropriate action as per Modmed guidelines
• Ensuring timely follow up to save claims from getting written off due to untimely following up
• Work on Contractual adjustments and write-off projects
• Analyze previous notes and actions taken on claims; take the correct action on claims not handled correctly previously and bring that to the knowledge of the Quality Team
• Identify opportunities to improve follow up process and recommend changes to be added/removed in the Practice Instructions or SOPs with any recent changes at the Payer end
• Attend trainings to learn new updates, technologies, and techniques; enhancing knowledge of various scenarios and keeping abreast with the new updates is an important requirement for this role
• Continuously self-audit to ensure quality standards are met
• Review claim thoroughly and explore all possibilities to get claim resolved prior to assigning claims to any other Modmed or client buckets
• Perform additional tasks or project work as assigned

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