RCM Operations Coordinator

ModMed is hiring a driven RCM Operations Coordinator to join our positive, passionate, and high-performing RCM Operations team focused on managing communication between internal and external teams, and monitoring tickets. The RCM Ops Coordinator identifies issues and trends that need to be addressed by the RCM Operations team and our Global Partners.

Your Role:

• Facilitate communication between various internal groups and the global RCM teams to maintain a strong partnership on a day-to-day basis
• Monitor client KPIs and work closely on any identified issues for the progression of performance of the RCM Global Teams.
• Meet regularly with global vendor partners to communicate operational needs and receive their responses and feedback.
• Analyze trends to identify any process or operational gaps and work with internal teams and vendor partners to close these gaps in a timely manner. 
• Work closely with internal teams on various requests from global teams on data and reporting to assist with delivering services more efficiently.
• Assist in monitoring SLAs for our global partners as well as internal teams.
• Ensure availability and participation in review meetings while documenting the key actionable items for further follow-up.
• Convey ModMed policies, procedures, and other required updates to global teams.
• Interface between global and implementation teams during pre and post-implementation phases for new business.
• Serve as a point person on the Operations side for client escalations.
• Monitor JIRA tickets to identify trends and issues and work together with Global Team and Client Advisors to identify and implement solutions to avoid reoccurrence wherever possible. Work with stakeholders to address tickets appropriately and timely.
• Assist Client Advisors in reviewing and analyzing customer accounts, identifying trends and issues, and recommending solutions.
• Sync and collaborate with key stakeholders to understand operational opportunities and concerns and ensure proposed solutions will effectively address any issues and scale appropriately.
• Ensure review and accuracy of Power BI Dashboards and bring in important data points for discussion during internal and external meetings.
• Responsible for review and analysis of meaningful touch rate to improve process efficiencies and the outcome.
• Help global teams resolve IT and access issues and ensure ModMed billing policies and procedures are followed.
• Communicate company goals and productivity with team members to create alignment and deliver high levels of customer service.
• Perform additional projects and job duties as assigned

Skills & Requirements:

• Bachelor's degree (preferred).
• Certificate in Medical Billing & Coding preferred.
• 5+ years of related end-to-end RCM experience and/or training or equivalent combination of education and experience.
• 2+ years experience working closely with offshore/global RCM partners required.
• Exceptional written, verbal, and interpersonal communication skills are required.
• Comprehensive understanding of the full revenue cycle process for claim submission, medical insurance policies, and ICD-10 and CPT coding guidelines.
• Strong understanding and knowledge of Payer Policies, guidelines, and procedures.
• Expertise in medical billing, front-office, physician practice management and healthcare business processes.
• Knowledge of Fee For Service, Capitation, and Workers' Compensation.
• Advanced Excel skills, such as the ability to use formulas to analyze data, create and format pivot tables and templates, and use conditional formatting and validation functions. Able to create visualizations of data through charts and graphs.
• Mastery of spreadsheets including the ability to manage information located in multiple software systems.
• Develop expertise in respective ModMed products (PM or gPM) within 5 months of employment.
• Ability to demonstrate and assist staff with the development of their Excel skills.
• Excellent time management & organizational skills.
• A professional demeanor is required.
• Actively works to promote a positive work environment.
• Ability to work Eastern or Central time-zone business hours

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