Remote Rcm Performance Analyst

Summary

Join ModMed's RCM Operations team as a driven RCM Performance Analyst! Conduct in-depth analysis of revenue cycle data, performance metrics, and industry trends to provide strategic recommendations for optimizing revenue cycle processes. This role involves investigating and resolving billing issues, collaborating with stakeholders, preparing reports, and ensuring timely resolutions. You will leverage data analytics tools and your expertise in medical billing/coding to identify and address complex issues. ModMed offers a competitive benefits package, including comprehensive medical, dental, and vision benefits, 401(k) matching, generous PTO and parental leave, life and disability insurance, professional development opportunities, and a supportive work environment.

Requirements

• Minimum of 3 years of previous RCM experience
• Ability to analyze financial and operational data to identify trends and discrepancies
• Proficiency in data analysis tools (i.e. Excel, Google Sheets, etc) and experience with data software (i.e. Power BI)
• Strong analytical skills to address complex issues and develop effective solutions
• Analytical thinking, attention to detail and decision-making abilities
• Exceptional written, verbal and interpersonal communication skills required
• Knowledge of medical billing/coding, front-office, physician practice management and healthcare business processes
• Strong understanding of various insurance carriers, including Medicare, private HMOs, and PPOs
• Ability to manage and integrate information located in multiple software systems
• Professional, patient and balanced approach to handling tasks of varying priority levels
• Ability to work independently as well as part of a large RCM team

Responsibilities

• Perform in-depth analysis of financial data, including claims, denials, and payment trends
• Use data analytics tools to identify patterns and areas for improvement
• Investigate and resolve issues related to billing errors, denials, and other common trends across BOOST
• Collaborate with stakeholders to address root causes and implement solutions
• Investigate the root causes of escalations, coordinate with internal teams to resolve problems, and ensure timely and satisfactory resolution
• Maintain clear communication with the Client Success teams throughout the process
• Prepare and present reports

Preferred Qualifications

Experience working with global vendors

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