Enterprise RCM Client Advisor

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🕒 Junho 9

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

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ModMed

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

🏥 Saúde

💼 Consultoria

📦 Logística

Healthcare • Consulting • Logistics

A ModMed é uma empresa de tecnologia em saúde que fornece software de prontuário eletrônico (EHR) específico para especialidades, gerenciamento de consultórios, gerenciamento de ciclo de receita, análise e ferramentas de comunicação com pacientes para práticas médicas. A plataforma deles integra recursos movidos por IA—como o ModMed Scribe—para documentação clínica, automação de fluxo de trabalho, assistência de faturamento e engajamento de pacientes, ajudando médicos especialistas a otimizar operações e melhorar a eficiência. A ModMed foca em atender práticas especializadas (dermatologia, oftalmologia, gastroenterologia, ortopedia, ginecologia, etc. ) com integração, suporte e integrações (API FHIR, telemedicina, processamento de pagamentos).

Descrição

• Serve as the primary point of contact for enterprise-sized medical practice client(s) and develop and maintain strong client relationships to understand their unique RCM needs and challenges • Conduct routine client meetings to review business metrics, progress, recommendations and other proactive topics to ensure high quality delivery of contracted services • Provide a high-level of value and customer service to our enterprise client practices by identifying and efficiently working with RCM operations and the client to resolve insurance and other billing-related issues • Manage and monitor the end-to-end RCM process for assigned clients and track RCM KPIs for clients, ensuring alignment with organizational goals and SLAs • Collaborate with internal RCM operations and global team to improve client metrics and ensure seamless service delivery • Conduct regular audits and assessments to proactively identify areas for improvement and optimization and collaborate with operational functions on aggressive strategies to facilitate positive client outcomes related to revenue cycle • Establish, implement and manage Practice Performance Plans that identify, quantify and resolve issues that are impacting service levels and/or delivery of contractual obligations, as needed • Review and analyze customer accounts; identify trends and issues, recommend and implement solutions and see through to a successful resolution • Participate in sales calls as needed to demonstrate depth of domain expertise • Serve as a subject matter expert on processes and workflows related to RCM Advisor role and maintain knowledge on current healthcare industry and specialty related changes • Keep abreast with ModMed software enhancements and releases • Perform additional projects and job duties as assigned

🎯 Requisitos

• Bachelor's Degree preferred and/or training or equivalent combination of education and experience; Medical billing and coding certification preferred • Proven experience in a client or practice-facing role, managing the revenue cycle management performance for large medical practices (15+ providers) required • 3+ years of related physician billing medical/RCM experience with experience developing and presenting revenue cycle management KPIs and month-end reports required, preferably to executive leaders • Extensive knowledge of medical billing/coding, physician practice management, and healthcare business processes; strong understanding of various insurance carriers, including Medicare, private HMOs, and PPOs • Advanced Excel skills such as the ability to use formulas to analyze data, create tables and pivot tables, formatting and conditional formatting • Strong analytical and problem-solving skills required • Exceptional written, verbal, and interpersonal communication skills required • Professional demeanor required • Ability to travel domestically up to 10%

🏖️ Benefícios

• 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 • 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