RCM AR Analyst at Modernizing Medicine Inc

Hyderabad, Telangana, India -

Full Time

Start Date

Immediate

Expiry Date

04 Feb, 26

Salary

0.0

Posted On

06 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Accounts Receivable Follow-ups, Billing Scrubbers, Payer Rejections, RCM Functions, Cash Collection, Commercial Payers, Federal Payers, Coding Concepts, CARC Codes, Auto Claims, Workers Compensation, Interpersonal Skills, Problem Solving, Communication Skills, HIPAA Guidelines, Information Security

Industry

Software Development

Description

We are united in our mission to make a positive impact on healthcare. Join Us! South Florida Business Journal, Best Places to Work 2024 Inc. 5000 Fastest-Growing Private Companies in America 2024 2024 Black Book Awards, ranked #1 EHR in 11 Specialties 2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold) 2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara) Who we are: We Are Modernizing Medicine (WAMM)! We’re a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed's global headquarters is based in Boca Raton, FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany. The RCM Accounts Receivable Analyst is a key position within the ModMed India Operations. Analysts will be assigned to a group of practices under one or multiple specialties and are responsible for taking the appropriate actions to resolve claims with insurance balances that have no response or are being denied. Analysts will report to the RCM AR Lead. Your Role: 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. Skills & 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 Abide by the organizations’ information security policy and protect the confidentiality, integrity, and availability of all information assets Willing to work from the office in India night shift (5:30PM to 2:30AM). Work from office ModMed Benefits Highlight: At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits: India 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. United States 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. PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (first.lastname@modmed.com). Please check senders’ email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.

Responsibilities

The RCM Accounts Receivable Analyst is responsible for resolving claims with insurance balances that have no response or are being denied. This includes timely follow-up on claims, analyzing previous actions taken, and identifying opportunities for process improvement.