RCM Specialist

3 days ago


Navi Mumbai, Maharashtra, India REVUPSIDE Full time ₹ 1,80,000 - ₹ 2,40,000 per year

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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