At Modernizing Medicine, we look for passionate, innovative, creative Rock Stars!

Modernizing Medicine is hiring a Revenue Cycle Management (RCM) Advisor who will be responsible for managing and communicating the revenue cycle activities and performance for our physician client practices to ensure a successful client experience. RCM Client Managers focus on partnering with physician client practices to clearly understand their institutional goals, challenges, organizational structure and key business drivers. Activities include establishing and maintaining trusted and consultative client relationships that focus on practice revenue performance. RCM Client Managers advise and regularly consult with medical practices regarding the financial health of their practices.

You may be a great fit for Modernizing Medicine’s RCM Advisor position IF…

• You have physician billing experience 
• You have knowledge of medical billing/coding, front-office, physician practice management and healthcare business processes.
• You possess a real passion for innovative solutions within Healthcare IT
• You are an amazing problem-solver with exceptional customer service skills, going above and beyond client expectations
• You are naturally curious about the way things work and have the distinct ability to pick up both software and medical practice concepts easily
• You have excellent interpersonal, verbal and written communication skills, as well as the ability to effectively prioritize and manage your time

Your Role:

• Manage overall medical billing processes, including:
  • Create and actively manage Practice Performance Plans to ensure client health.
  • Ensure effective flow of demographic charge and payment information.
  • Oversee aggressive follow-ups with accounts receivables (A/R).
  • Monitor fee schedules and insurance payments in order to ensure fully allowed reimbursement.
  • Identify and implements strategies to improve internal and customer processes.
  • Conduct weekly meetings with the RCM team to provide guidance and feedback regarding claims processing.
• Leverage deep knowledge and understanding of clients’ key practice revenue performance metrics to consult and advise our clients on a monthly basis:
  • Denials trend management.
  • Office workflow efficiency opportunities.
  • Payer-related trend analysis and education related to policies and procedures for payers.
  • Payer online portal & gaining access.
  • ERA Enrollments.
• Review and analyze customer accounts; identify trends and issues, recommend and implement solutions and see through to a successful resolution.
• 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.
• Incorporate and execute quality assurance processes related to ensuring accurate customer billing activity.
• Collaborate with geographically dispersed team members to improve overall client metrics.
• Perform additional projects and job duties as assigned.

Skills & Requirements:

• Bachelor’s degree from four-year college or university and/or Medical Billing & Coding Certificate strongly preferred.
• Three plus years of related experience and/or training or equivalent combination of education and experience required.
• Advanced Excel skills such as the ability to use formulas to analyze data, create tables and Pivot tables, formatting and conditional formatting.
• Extensive 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.
• 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.
• Professional demeanor required.

Modernizing Medicine Benefit Highlights:

• Health Insurance, 401(k), Vacation, Employee Assistance Program, Flexible Spending Accounts
• Employee Resource Groups
• Professional development opportunities including tuition reimbursement programs and unlimited access to LinkedIn Learning
• Weekly catered breakfast and lunch, treadmill workstations, quarterly onsite massages, onsite dry cleaning, onsite car wash and many more!

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