RCM Performance Analyst at Modernizing Medicine Inc

, , United States -

Full Time

Start Date

Immediate

Expiry Date

29 Jan, 26

Salary

0.0

Posted On

31 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

RCM Experience, Data Analysis, Financial Data Analysis, Claims Analysis, Denials Analysis, Payment Trends Analysis, Analytical Skills, Attention To Detail, Communication Skills, Medical Billing, Coding Knowledge, Healthcare Business Processes, Insurance Carrier Knowledge, Problem Solving, Team Collaboration, Software Integration

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. ModMed is hiring a driven RCM Performance Analyst to join our positive, passionate, and high-performing RCM Operations team focused on conducting in-depth analysis of revenue cycle data, performance metrics, and industry trends to derive actionable insights. This is an exciting opportunity to provide strategic recommendations to optimize revenue cycle processes within a fast-paced Healthcare IT company that is truly Modernizing Medicine! By identifying patterns, trends, and anomalies, the RCM Performance Analyst provides strategic recommendations to optimize revenue cycle processes and improve financial outcomes. Your Role: 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 by generating periodic financial reports for management, highlighting key metrics and trends. Present findings and recommendations to support strategic decision-making Skills & 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. Experience working with global vendors, preferred. 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. #LI-LM1 #LI-REMOTE 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 Performance Analyst conducts in-depth analysis of revenue cycle data and performance metrics to derive actionable insights. They provide strategic recommendations to optimize revenue cycle processes and improve financial outcomes.