Enterprise Rcm Client Advisor

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.

ModMed seeking a highly motivated and experienced Enterprise RCM Client Manager (internally referred to as an “Enterprise RCM Client Advisor”) to join our team. In this client-facing role, you will be responsible for managing and reporting on the RCM operations for our enterprise-sized medical practice clients. The ideal candidate will collaborate with our internal RCM operations team and global partners to ensure the achievement of our clients’ RCM key performance indicators (KPIs) and goals. You’ll work closely with client(s) to understand their financial, business, reporting and performance needs to best serve their business goals.

Your Role:

• 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.

Skills & Requirements:

• Bachelor’s Degree preferred and/or training or equivalent combination of education and experience; Medical billing and coding certification preferred.
• Proven experience 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%.

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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.