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Full-Time

RCM Operations Support Specialist

Worker's Comp

Confirmed live in the last 24 hours

Modernizing Medicine

Modernizing Medicine

1,001-5,000 employees

Specialty-specific electronic health record systems

Enterprise Software
Healthcare

Junior, Mid

Remote in USA

Category
Customer Success
Customer Support
Customer Success & Support
Required Skills
Communications
Requirements
  • Bachelor's degree preferred; Medical Billing and Coding certification preferred.
  • Two plus years of related experience and/or training or equivalent combination of education and experience.
  • Extensive knowledge of Workers’ Compensation payers including state nuances, laws, reports, payment rules and solutions for quick claim adjudications.
  • Exceptional written, verbal and interpersonal communication skills required.
  • Highly detail oriented with a critical degree of accuracy.
  • Intermediate Excel skills such as the ability to use formulas to analyze data, create and formatting pivot tables and templates, use of conditional formatting and validation functions. Able to create visualizations of data through charts and graphs.
  • Mastery of spreadsheets including the ability to manage information located in multiple software systems.
  • Expertise in medical billing, front-office, physician practice management and healthcare business processes.
  • Self-motivated; takes initiative and approaches problem solving with creativity and excitement.
  • Develop expert knowledge and workflows in respective ModMed products (PM and/or gPM) within 5 months of employment.
  • Strong understanding of various insurance carriers, including Medicare, private HMOs, and PPOs.
  • Team player with a positive attitude, adaptable when faced with change.
  • Professional demeanor required.
  • Able to travel (up to 10%).
Responsibilities
  • Supports overall medical billing operations and timely processing of claims, including:
  • Being a Subject Matter Expert on Worker’s Compensation and Auto/PIP workflows.
  • Provide knowledge and support to other RCM team members to facilitate resolving claim inquiries related to billing and Worker’s Compensation and Auto/PIP workflows.
  • Reviewing and resolving Patient inquiries.
  • Conducting comprehensive performance audits of client practices to support best practices and optimal workflow for all parties. This includes:
  • Monitor billing activity
  • Assessing KPI metrics
  • Monitor payment posting activity
  • Payer and coding trend analysis
  • Meet and communicate with Client Success, RCM Coordinator and Global Partners to share best practice and recommend workflow changes
  • Specialty specific RCM support including:
  • Monitor and support production team activity
  • Identify and develop specialty specific best practices to help streamline RCM processes
  • Participate in team meetings
  • Payer and coding trend analysis
  • Facilitate communication between Client Success, RCM Coordinator and Global Partners
  • Developing strong relationships with adjusters and/or payers.
  • Collaborating on Standard Operating Procedures (SOP) to include specific workflows and needs to ensure smooth revenue cycle.
  • Collaborates with multiple BOOST departments in resolving client escalations.
  • Performing additional projects and job duties as assigned.

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 by providing tools that simplify administrative processes and improve patient care.

Company Stage

Seed

Total Funding

$400.9M

Headquarters

Boca Raton, Florida

Founded

2010

Growth & Insights
Headcount

6 month growth

3%

1 year growth

5%

2 year growth

32%
Simplify Jobs

Simplify's Take

What believers are saying

  • Modernizing Medicine's consistent top rankings in G2 and Black Book Research reports highlight its strong market position and customer satisfaction.
  • Collaborations with industry leaders like Medtronic and Brevium enhance the functionality and appeal of their EHR systems.
  • The appointment of a Chief Information Security Officer underscores the company's commitment to data security, a critical factor in healthcare technology.

What critics are saying

  • The highly competitive healthcare technology market requires continuous innovation to maintain a leading position.
  • Integration of AI and new technologies may face resistance from traditional healthcare providers, potentially slowing adoption.

What makes Modernizing Medicine unique

  • Modernizing Medicine offers specialty-specific EHR systems, unlike many competitors who provide more generalized solutions.
  • Their EHR systems, EMA and gGastro, are designed to learn and adapt to specific user practices, enhancing workflow efficiency.
  • The company has a strong focus on integrating AI to reduce administrative burdens, setting it apart in the healthcare technology market.