RCM Specialist
3 days ago
RCM Specialist / Medical Biller (ModMed Experience Required)
Key Responsibilities
- Manage the complete Revenue Cycle Management (RCM) process using ModMed software.
- Perform charge entry, claim creation, submission, and follow-up on unpaid or denied claims.
- Ensure accurate payment posting and reconciliation of EOBs/ERAs.
- Work daily on denial analysis and AR follow-ups to reduce outstanding claims and improve collection rates.
- Review and validate patient demographics, CPT, ICD-10, and modifier accuracy within the ModMed system.
- Maintain compliance with HIPAA and company data privacy standards.
- Collaborate with providers, coders, and front-office teams to resolve billing discrepancies.
- Generate and analyze RCM reports (aging, productivity, collection ratio) directly from ModMed dashboards.
- Participate in system updates, troubleshooting, and workflow improvements within ModMed.
- Provide feedback and recommendations to improve RCM efficiency and performance.
Required Skills & Qualifications
- Minimum 2 years of experience working with Modernizing Medicine (ModMed) software (EHR and/or Practice Management).
- Proven experience in medical billing, AR follow-up, or RCM operations for US healthcare providers.
- Strong understanding of CPT, ICD-10, and HCPCS codes.
- Familiarity with denial management and payer guidelines (Medicare, Medicaid, commercial insurances).
- Proficiency in using ModMed reports, claims modules, and clearinghouse integration.
- Excellent communication and analytical skills.
- Ability to work independently with attention to detail and accuracy.
Job Type: Full-time
Pay: From ₹15,000.00 per month
Benefits:
- Health insurance
Work Location: In person
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