Full-Time

RCM Client Manager

Confirmed live in the last 24 hours

Modernizing Medicine

Modernizing Medicine

1,001-5,000 employees

Specialty-specific electronic health record systems

Mid, Senior

United States

Candidates must be based in the United States.

Category
Insurance
Finance & Banking
Required Skills
Customer Service
Data Analysis
Excel/Numbers/Sheets
Requirements
  • Bachelor's Degree preferred and/or training or equivalent combination of education and experience.
  • 3+ years of experience overseeing the entire revenue cycle management process for medical practices, including analyzing AR, denial trends, and payer issues, and developing and presenting key performance indicators (KPIs) and reports related to revenue cycle management (required).
  • Proven experience in an RCM client-facing role preferred.
  • Extensive knowledge of medical billing/coding, front-office, physician practice management, and healthcare business processes.
  • Advanced Excel skills such as the ability to use formulas to analyze data, create tables and pivot tables, formatting and conditional formatting.
  • Strong analytical and problem-solving skills required.
  • Exceptional written, verbal and interpersonal communication skills required.
  • Excellent client-facing and presentation skills.
  • Ability to manage and integrate information located in multiple software systems.
  • Strong understanding of various insurance carriers, including Medicare, private HMOs, and PPOs.
  • Professional demeanor required.
Responsibilities
  • Serve as the primary point of contact for ModMed's RCM clients, managing and monitoring their end-to-end revenue cycle management processes.
  • Analyze A/R data to identify payer, denial, and coding trends. Develop action plans to increase revenue and improve workflows.
  • Develop and maintain strong client relationships to understand their unique RCM needs and challenges and ensure Client Key Performance Indicator benchmarks are met.
  • Provide a high-level of value and customer service to both our client practices and their patients by identifying and efficiently resolving insurance and other billing-related issues.
  • Establish, implement and manage Practice Performance Plans that identify, quantify and resolve issues that are impacting service levels and/or delivery of contractual obligations, as needed.
  • Conduct routine audits and client meetings to review business metrics, progress, and other proactive topics to ensure high-quality delivery of contracted services.
  • Collaborate with the internal RCM operations team to ensure seamless service delivery.
  • Review and analyze customer accounts; identify trends and issues, recommend and implement solutions and see through to a successful resolution.
  • Work closely with global partners to coordinate and optimize RCM processes and improve overall client metrics.
  • Manage and escalate complex issues to the appropriate internal teams or global partners for resolution.
  • Maintain knowledge of current healthcare industry and specialty-related changes and keep abreast with ModMed software enhancements and releases.
  • Promote collaborative relationships with operational leadership and on and offshore partners.
  • Participate in sales calls as needed to demonstrate depth of domain expertise.
  • Perform additional projects and job duties as assigned.
Desired Qualifications
  • Proven experience in an RCM client-facing role preferred.

Modernizing Medicine provides specialty-specific Electronic Health Records (EHR) systems designed to improve the workflow of healthcare providers. Their main products, EMA and gGastro EHR, help users manage patient information and administrative tasks more efficiently, allowing them to concentrate on patient care. These systems adapt to the specific practices of each user, enhancing their effectiveness. Unlike many competitors, Modernizing Medicine focuses on tailored solutions for various medical specialties, which sets them apart in the healthcare technology market. The company's goal is to streamline healthcare delivery and improve patient outcomes by providing tools that simplify administrative processes for healthcare providers.

Company Size

1,001-5,000

Company Stage

Late Stage VC

Total Funding

$360.6M

Headquarters

Boca Raton, Florida

Founded

2010

Simplify Jobs

Simplify's Take

What believers are saying

  • ModMed consistently ranks #1 in G2's 2024 Grid Reports for EHR and RCM software.
  • Collaboration with Brevium enhances patient re-engagement, boosting retention in gastroenterology practices.
  • Appointment of Dan Costantino as CISO strengthens cybersecurity, crucial for healthcare data protection.

What critics are saying

  • Potential sale by Warburg Pincus could lead to strategic shifts misaligned with current goals.
  • Resistance to AI technologies may slow implementation and affect user satisfaction.
  • Dependency on Medtronic's technology poses risks if partnership faces challenges or strategic changes.

What makes Modernizing Medicine unique

  • ModMed offers specialty-specific EHR systems, enhancing workflow efficiency for healthcare providers.
  • Their EHR systems, EMA and gGastro, adapt to user practices, increasing adaptability.
  • ModMed integrates AI technologies, like Medtronic's GI Genius, to improve procedural accuracy.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Health Savings Account/Flexible Spending Account

Unlimited Paid Time Off

Paid Vacation

Paid Sick Leave

Paid Holidays

Parental Leave

401(k) Retirement Plan

401(k) Company Match

Professional Development Budget

Conference Attendance Budget

Hybrid Work Options

Remote Work Options

Wellness Program

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

0%

2 year growth

3%
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