Remote RCM Analyst

Summary

Join ModMed, a fast-paced Healthcare IT company, as a driven RCM Performance Analyst to provide strategic recommendations to optimize revenue cycle processes. Conduct in-depth analysis of financial data, identify patterns and areas for improvement, and collaborate with stakeholders to address root causes and implement solutions.

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

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

Benefits

• Comprehensive medical, dental, and vision benefits
• 401(k) with 50% matching contribution each payday of up to 6% of your compensation
• Paid Time Off program
• Paid Parental Leave program
• Company paid Life and Disability benefits
• Flexible Spending Account
• Employee Assistance Programs
• Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning