RCM Optimization Specialist

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.

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