RCM AR Analyst

1 month ago

Hyderabad, India ModMed Full time

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

Inc. 5000 Fastest-Growing Private Companies in America 2023 Company of the Year | 2023 BIG Innovation Awards Fastest-Growing Company of the Year – Large (Bronze) | 2022 Best in Biz Awards South Florida Business Journal, Best Places to Work 2021

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.

The Accounts Receivable Analyst is a key position within the ModMed India Operations. Analysts will be assigned to a group of practices under one or multiple specialties and are responsible for taking the appropriate actions to resolve claims with insurance balances that have no response or are being denied. Analysts will report to the RCM AR Lead.

Your Role:

Responsible for working assigned claims and running reports to identify claims that require a follow-up and resolve the denial by taking appropriate action as per Modmed guidelines. Ensuring timely follow up to save claims from getting written off due to untimely following up. Work on Contractual adjustments and write-off projects. Analyze previous notes and actions taken on claims; take the correct action on claims not handled correctly previously and bring that to the knowledge of the Quality Team. Identify opportunities to improve follow up process and recommend changes to be added/removed in the Practice Instructions or SOPs with any recent changes at the Payer end. Attend trainings to learn new updates, technologies, and techniques; enhancing knowledge of various scenarios and keeping abreast with the new updates is an important requirement for this role. Continuously self-audit to ensure quality standards are met.  Review claim thoroughly and explore all possibilities to get claim resolved prior to assigning claims to any other Modmed or client buckets.  Perform additional tasks or project work as assigned.

Skills & Requirements:

2+ years of experience as AR Follow-ups (Voice) in Physician RCM is a must Sound knowledge of working on Billing scrubbers and CH/Payer Rejections Understanding of other related functions in the RCM is required Proven experience of good Cash collected/Resolution rate Strong knowledge of Commercial & Federal payers, basic Coding concepts & CARC codes  Knowledge of working and resolving Auto, WC , IPAs etc. is required Expert in listening and resolving problems Ability to interact positively with team members, peer groups, and seniors Being proficient in delivering a high-quality outcome is a must Capable of grasping new concepts quickly; Able to comprehend various training aids and process documentation  Excellent written and verbal communication skills  Strong knowledge of HIPAA guidelines  Abide by the organizations’ information security policy and protect the confidentiality, integrity, and availability of all information assets Willing to work from the office in India night shift (5:30PM to 2:30AM)

ModMed in India Benefit Highlights:

High growth, collaborative, transparent, fun, and award-winning culture Comprehensive benefits package including medical for you, your family, and your dependent parents. The company supported community engagement opportunities along with a paid Voluntary Time Off day to use for volunteering in your community of interest Global presence, and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office based roles and remote availability,  Company-sponsored Employee Resource Groups that provide engaged and supportive communities within ModMed

#LI-SM1

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) Plan with immediate vesting in the company matching contribution, 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, Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.

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