Director RCM AR Operations

at ModMed
  • Remote - India

Remote

Finance & Legal

Director

Job description

We are united in our mission to make a positive impact on healthcare. Join Us!

  • South Florida Business Journal, Best Places to Work 2024
  • Inc. 5000 Fastest-Growing Private Companies in America 2024
  • 2024 Black Book Awards, ranked #1 EHR in 11 Specialties
  • 2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold)
  • 2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara)

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 Director AR position is to ramp up the AR Operations at MMI. It is important to seamlessly transition the AR work from Global Partners and improve the outcome continuously through best practices, Automation and people management. A strong AR Team at all levels is to be hired so that Quality and productivity of the operations match to the best in class standards.

PRIMARY DUTIES/RESPONSIBILITIES:

● List the primary duties/responsibilities in order of importance (from most to least)

● Include the percentage of time spent or required for each activity

● For each primary duty or responsibility, describe how it is accomplished

● List the duties that account for more than 5 percent of time or are critical to the successful performance of the job

● The duties and responsibilities should clearly describe why the job is different from other jobs in the same family in terms of complexity of the work performed or the character of the work

● Build and execute a strategy to ensure

○ Front end processes are well defined in a way so that Claims are paid by payers in full and wherever possible, AR balances can be avoided

○ Claims with balances are being worked within the expected time frame . Teams are designed in a way so that despite any spikes, backlog is maintained in permissible limits.

○ AR operations are planned based on DDIE ( Discover- Design- Implement- Execute) basis at a practice level

○ Bring ownership to Practice AR and work with relevant Teams to ensure that AR at practice level is resolved timely wherever possible

○ Practice KPIs are being monitored very closely to have a practice level focus  25%

● Continuously improve the Quality and productivity of the deliverables by identifying  the automation opportunities which can be implemented inside and out of the PM.

● Drive the initiatives to plan and implement the CHANGE through improved workflows, decision trees, tech updates. 15%

● Will work closely with other Modmed Teams across geographies to develop world class practices. Collaboration and coordination within the AR Teams and other Modmed Teams is key to having a successful AR model. 10%

● Participate and contribute in Client Escalation discussions to improve retention for issues where a focused plan at Client level to be implemented. 5%

● Work with Quality and Training Team to ensure AR Teams are equipped with the required knowledge at a vertical and practice level . Director of AR will ensure that Teams are focused. 10%

● Director of AR will ensure that Teams are always meeting the expected  Quality standards through focused audits and Quality Awareness programs.

10%

● Ensure that the best available workforce is timely hired which is compatible to the Modmed requirements from knowledge and cultural aspects. They will drive the hiring while working closely with the TA Teams so that capacity ramp up is executed as planned. 15%

● They will maintain high employee satisfaction while building strong relationships with Teams at all levels to make sure that employee attrition is always controlled with10%

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:

India

  • Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk,
  • Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees,
  • Allowances: Annual wellness allowance to support your well-being and productivity,
  • Earned, casual, and sick leaves to maintain a healthy work-life balance,
  • Bereavement leave for difficult times and extended medical leave options,
  • Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave,
  • Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind.

United States

  • 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, 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 for some roles,
  • Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.

PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote “interviews,” and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address ([email protected]). Please check senders’ email addresses carefully.  Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.

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