RCM Operations Support Specialist AR
Updated on 5/15/2023
United States
Experience Level
Desired Skills
  • South Florida Business Journal, Business of the Year 2022
  • BIG Awards for Business, Company of the Year 2021
  • Best in Biz Award (Silver), Fastest-Growing Company of the Year 2021
  • South Florida Business Journal, Best Places to Work 2021
  • Inc. Magazine Best Workplaces of 2020
  • Bachelor's degree (preferred)
  • Medical billing and coding certification (preferred)
  • One or more years experience ophthalmology billing
  • Two plus years of related experience and/or training or equivalent combination of education and experience
  • Exceptional written, verbal and interpersonal communication skills required
  • Highly detail oriented with a critical degree of accuracy regarding data entry
  • Basic excel skills such as the ability to perform simple calculations with formulas and functions, format spreadsheets and create visualizations of data through charts and graphs
  • 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
  • Professional demeanor required
  • Being a Subject Matter Expert on a specific speciality
  • Maintenance of productivity data as needed to meet operational needs
  • Provide knowledge and support to operation team members to facilitate resolving claim inquiries related to billing and payment posting
  • Conduct comprehensive performance audits of client practices to support best practices and optimal workflow for all parties. This includes:
  • Assessing AR follow up
  • Ensuring SOPs are followed
  • Identifying workflow gaps
  • Payer and denial 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:
  • Identify and develop specialty specific best practices to help streamline RCM processes
  • Participate in team meetings
  • Resolving patient inquiries as it relates to AR
  • Facilitate communication between Client Success, RCM Coordinator and Global Partners
  • Perform additional projects and job duties as assigned
Modernizing Medicine

1,001-5,000 employees

Company Overview
Modernizing Medicine's EMA is an electronic medical record (EMR) software application.