RCM Performance Analyst

ModMed is hiring a driven RCM Performance Analyst to join our positive, passionate, and high-performing RCM Operations team focused on [conducting in-depth analysis of revenue cycle data, performance metrics, and industry trends to derive actionable insights. This is an exciting opportunity to provide strategic recommendations to optimize revenue cycle processes within a fast-paced Healthcare IT company that is truly Modernizing Medicine!

Your Role:

• Perform in-depth analysis of financial data, including claims, denials, and payment trends. Use data analytics tools to identify patterns and areas for improvement.
• Investigate and resolve issues related to billing errors, denials, and other common trends across BOOST.  Collaborate with stakeholders to address root causes and implement solutions.
• Investigate the root causes of escalations, coordinate with internal teams to resolve problems, and ensure timely and satisfactory resolution. Maintain clear communication with the Client Success teams throughout the process.
• Prepare and present reports.

Skills & Requirements:

• Minimum of 3 years of previous RCM experience.
• Ability to analyze financial and operational data to identify trends and discrepancies.
• Proficiency in data analysis tools (i.e. Excel, Google Sheets, etc) and experience with data software (i.e. Power BI).
• Strong analytical skills to address complex issues and develop effective solutions.
• Analytical thinking, attention to detail and decision-making abilities.
• Exceptional written, verbal and interpersonal communication skills required.
• Knowledge of medical billing/coding, front-office, physician practice management and healthcare business processes.
• Strong understanding of various insurance carriers, including Medicare, private HMOs, and PPOs.
• Ability to manage and integrate information located in multiple software systems.
• Experience working with global vendors, preferred.
• Professional, patient and balanced approach to handling tasks of varying priority levels.
• Ability to work independently as well as part of a large RCM team.

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