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Full-Time

RCM Client Manager

Confirmed live in the last 24 hours

Modernizing Medicine

Modernizing Medicine

1,001-5,000 employees

Specialty-specific EHR and healthcare solutions

Hardware
Healthcare

Mid

Remote in USA

Category
Management Consulting
Consulting
Required Skills
Sales
Communications
Management
R
Customer Service
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.

Modernizing Medicine offers specialty-specific EHR systems and solutions, including EMA and gGastro EHR, designed to streamline workflow and documentation for medical practices in various specialties. Their intelligent cloud platform empowers healthcare professionals with clinical, financial, and operational software solutions, enabling better, more personalized patient care.

Company Stage

Seed

Total Funding

$400.9M

Headquarters

Boca Raton, Florida

Founded

2010

Growth & Insights
Headcount

6 month growth

4%

1 year growth

7%

2 year growth

32%