RCM Optimization Specialist

Posted 23 Days Ago
Be an Early Applicant
Hiring Remotely in United States
Remote
Mid level
Healthtech • Software • Telehealth
The Role
As an RCM Optimization Specialist, you will assess clients' documentation and systems against RCM standards, monitor client success metrics, conduct performance audits, communicate with global teams, and stay updated on process improvements to enhance client outcomes in a Healthcare IT environment.
Summary Generated by Built In

We are united in our mission to make a positive impact on healthcare. Join Us! 

  • South Florida Business Journal, Best Places to Work 2024
  • Inc. 5000 Fastest-Growing Private Companies in America 2024
  • 2024 Black Book Awards, ranked #1 EHR in 11 Specialties
  • 2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold)
  • 2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara)

Who we are:

We Are Modernizing Medicine (WAMM)! We’re a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed is based in Boca Raton, FL, with office locations in Santiago, Chile, Berlin, Germany, Hyderabad, India, and a robust remote workforce with team members across the US.


ModMed is hiring a driven RCM Optimization Specialist to join our positive, passionate, and high-performing RCM Operations team tasked with enhancing success, client retention, and performance for our medium-complexity clients. This is an exciting opportunity to work within a fast-paced Healthcare IT company that is truly Modernizing Medicine!

Your Role:

  • Review and assess the medium-complexity client's discovery documentation and/ or live site (mmPM existing business) against BOOST processes and RCM Standard settings, making recommendations for configurations and pointing out nuances that fall outside of our RCM standard settings. This includes, but is not limited to, payer configuration recommendations.
  • Monitor client metrics against benchmark and pre- RCM (BOOST) metrics to ensure client success, and recommend improvement opportunities.
    Conduct comprehensive performance audits of client practices to support best practices and optimal outcomes for all parties.
  • Communicate with the global team(s) related to clients’ new transition, and collaboration to ensure training and workflow opportunities are identified early on for the success of our clients and teams.
  • Stay current with system enhancements and process updates. Provide input to the team and the Lead for improvement ideas.

Skills & Requirements:

  • Bachelor’s Degree or equivalent education and experience.
  • 4-year degree or CPC/CPB certifications, preferred.
  • 5 Years RCM, Medical office, or billing administration.
  • Strong organizational skills.
  • Medical office workflow knowledge.
  • Excellent written, verbal, and interpersonal communication skills.
  • Analytical thinking and ability to problem-solve and synthesize information.

#LI-KM1

#LI-REMOTE

ModMed Benefits Highlight:

At ModMed, we believe it’s important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits, including:

  • Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution,
  • 401(k):  ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
  • Generous Paid Time Off and Paid Parental Leave programs,
  • Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs,
  • Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed,
  • Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning,
  • Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles,
  • Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.
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The Company
HQ: Boca Raton, FL
1,153 Employees
On-site Workplace
Year Founded: 2010

What We Do

ModMed is transforming healthcare by placing doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. With our electronic health records (EHR) and practice management (PM) systems, and our revenue cycle management (RCM) services, our all-in-one solution empowers specialty medical practices to do their best work by providing them with clinical, financial and operational software solutions designed to enable better, more personalized patient care. Our staff physicians help to develop products and services for dermatology, gastroenterology, ophthalmology, orthopedics, otolaryngology, pain management, plastic surgery, podiatry and urology practices, as well as ambulatory surgery centers. For more information, visit www.modmed.com.

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