We are united in our mission to make a positive impact on healthcare. Join Us!
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South Florida Business Journal, Best Places to Work 2024
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Inc. 5000 Fastest-Growing Private Companies in America 2024
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2024 Black Book Awards, ranked #1 EHR in 11 Specialties
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2024 Spring Digital Health Awards, Web-based Digital Health category for EMA Health Records (Gold)
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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! ModMeds global headquarters is based in Boca Raton, FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany.
Accounts Receivable Analyst
Your Role:
- Responsible for working assigned claims and running reports to identify claims that require a follow-up and resolve the denial by taking appropriate action as per Modmed guidelines.
- Ensuring timely follow up to save claims from getting written off due to untimely following up.
- Work on Contractual adjustments and write-off projects.
- Analyze previous notes and actions taken on claims; take the correct action on claims not handled correctly previously and bring that to the knowledge of the Quality Team.
- Identify opportunities to improve follow up process and recommend changes to be added/removed in the Practice Instructions or SOPs with any recent changes at the Payer end.
- Attend trainings to learn new updates, technologies, and techniques; enhancing knowledge of various scenarios and keeping abreast with the new updates is an important requirement for this role.
- Continuously self-audit to ensure quality standards are met.
- Review claim thoroughly and explore all possibilities to get claim resolved prior to assigning claims to any other Modmed or client buckets.
- Perform additional tasks or project work as assigned.
Skills & Requirements:
- 2+ years of experience as AR Follow-ups (Voice) in Physician RCM is a must
- Sound knowledge of working on Billing scrubbers and CH/Payer Rejections
- Understanding of other related functions in the RCM is required
- Proven experience of good Cash collected/Resolution rate
- Strong knowledge of Commercial & Federal payers, basic Coding concepts & CARC codes
- Knowledge of working and resolving Auto, WC , IPAs etc. is required
- Expert in listening and resolving problems
- Ability to interact positively with team members, peer groups, and seniors
- Being proficient in delivering a high-quality outcome is a must
- Capable of grasping new concepts quickly; Able to comprehend various training aids and process documentation
- Excellent written and verbal communication skills
- Strong knowledge of HIPAA guidelines
- Abide by the organizations information security policy and protect the confidentiality, integrity, and availability of all information assets
- Willing to work from the office in India night shift ( to ).
- Work from office
ModMed Benefits Highlight:
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
- 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.
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