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RCM Operations Support Specialist

External
modmed logoModmed · Hyderabad, India
Full-timeRemote2w ago
ICD-10JiraLeadership
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Requirements

  • To thrive in our fast-paced, high-growth environment, you should bring:
  • Experience: At least 5+ years in US Healthcare RCM . Specialized experience in Medicaid/Medicare AR recovery is highly preferred .
  • Education: A Bachelor's degree in any stream .
  • Technical Knowledge: A strong understanding of CPT, ICD-10, and HCPCS coding , as well as deep familiarity with billing scrubbers, clearinghouses, and payer rejections .
  • Payer Expertise: Proven experience handling both Federal and Commercial insurance payers in a provider setup .
  • Communication Skills: Exceptional ability to collaborate across multiple business units and countries to disseminate critical information .
  • Leading ModMed Competencies
  • We align our passion with purpose. To be successful here, you should embody:
  • Agility: You embrace change as a growth opportunity and adapt quickly to shifting priorities in a "Compound Exponential Growth" environment .
  • Accountability: You take ownership of your tasks to deliver successful outcomes for our clients .
  • Customer Focus: You build strong relationships and deliver solutions that put the customer first .
  • Results Driven: You consistently achieve quality results and overcome obstacles to keep the RCM cycle moving .

Benefits

The chance to Innovate Boldly within a well-defined process while helping to shape the future of healthcare technology .A culture that encourages you to Think Big, Have Fun, and Do Good.A collaborative environment where your work directly saves time for medical professionals and their patients.ModMed is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.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:Meals & Snacks: Enjoy complimentaHealth insuranceVision insurance

Additional Information

Join the Team Modernizing Medicine At ModMed , we're not just building software-we're reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: we hired doctors and taught them how to code. This "for doctors, by doctors" philosophy has allowed us to create an AI-enabled, specialty-specific cloud platform that places patients at the center of care. A Culture of Excellence When you join ModMed, you're joining an award-winning team recognized for innovation and employee satisfaction. From our global headquarters in Boca Raton Florida, and extensive employee base in Hyderabad India, we are a team of 4,500+ passionate problem-solvers on a mission to increase medical practice success and improve patient outcomes: Consistently ranked as a Top Place to Work 2025 Globee Business Awards: Gold Globee for "Technology Team of the Year" 2025 Black Book Awards: Ranked #1 EHR in 11 Specialties Florida Venture Forum: Venture-Backed Company of the Year We are growing fast, thinking big, and we are just getting started. Ready to modernize medicine with us? Job Description Summary: RCM Operations Support Specialist Location: Hyderabad Reports to: RCM Operations Manager Department: Revenue Cycle Management (RCM) Delivery Our Mission & Vision At ModMed , we are on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. We envision a world where our software increases medical-practice success and improves patient outcomes. As an RCM Operations Support Specialist , you will directly contribute to this vision by ensuring the administrative and operational engines of our RCM cycle run with precision and speed. Why This Role Exists As we continue to scale, the volume of our RCM operations is growing rapidly . We are looking for a "hands-on" execution expert to manage high-volume operational tasks . Your primary goal is to ensure Customer Delight by maintaining fast turnaround times and resolving billing roadblocks within JIRA . Primary Responsibilities In this role, you will dedicate your energy to two key areas: 1. Operational Execution & JIRA Support Rapid Issue Resolution: Execute billing tasks and resolve insurance corrections, balance inquiries, and statement questions with speed and efficiency . Account Reconciliation: Perform detailed patient ledger account reconciliations to ensure financial accuracy . Administrative Fulfillment: Manage W9 inquiries and re-route complex requests to the appropriate teams . Workflow Optimization: Support the Operations team in managing AR and Appeal JIRA tickets to ensure no task is left behind . 2.Strategic Projects & Innovation (10% of Time) Administrative Projects: Participate in initiatives designed to improve the success of our operational workflows . Trend Identification: Proactively identify trends in RCM inquiries and suggest controllable system improvements to senior leadership .

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