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Full-Time

Patient Claims Specialist

Confirmed live in the last 24 hours

Modernizing Medicine

Modernizing Medicine

1,001-5,000 employees

Specialty-specific electronic health record systems

Hardware
Healthcare

Junior

Boca Raton, FL, USA

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Required Skills
Communications
PowerPoint/Keynote/Slides
Requirements
  • High School Diploma required
  • Ability to commute to our Boca Raton, Florida headquarters on a hybrid basis
  • Minimum of 1-2 years of previous healthcare administration or related experience required
  • Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs)
  • Bilingual strongly preferred (Spanish & English)
  • Proficient knowledge of business software applications such as Excel, Word, and PowerPoint
  • Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone
  • Ability and openness to learn new things
  • Ability to work effectively within a team in order to create a positive environment
  • Ability to remain calm in a demanding call center environment
  • Professional demeanor required
  • Ability to effectively manage time and competing priorities
Responsibilities
  • Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections
  • Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates
  • Input and update patient account information and document calls into PM
  • Special Projects: Other duties as required to support and enhance our customer/patient-facing activities

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%
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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.