Enterprise RCM Client Advisor

Summary

ModMed is a company focused on modernizing the healthcare experience through innovative software solutions. They are seeking an experienced Enterprise RCM Client Advisor to manage revenue cycle management operations for their enterprise-sized medical practice clients, ensuring the achievement of key performance indicators and fostering strong client relationships.

Responsibilities

• 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

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

Qualifications

Must Haves

• Proven 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%

Nice to Haves

• Bachelor's Degree preferred and/or training or equivalent combination of education and experience; Medical billing and coding certification preferred

Benefits

• 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