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RCM Operations Support Specialist

ModMed

Role overview

Qualifications

  • Bachelor's degree in any field
  • 5+ years of experience in US Healthcare Revenue Cycle Management AR (RCM)
  • Proven experience handling both Federal and Commercial insurance payers
  • Strong understanding of CPT, ICD-10, and HCPCS coding

Responsibilities

  • Provide swift, accurate JIRA ticket resolution, including insurance corrections and patient ledger reconciliations
  • Support the Operations team in managing AR and Appeal JIRA tickets
  • Identify systemic trends and suggest controllable system improvements
  • Participate in key administrative initiatives supporting document management and operational workflows

Key facts

Hard skills

JIRA CPT Coding ICD 503 Billing Broker Dealers Accounts Receivable Commercial Insurances Medicare Advantage

Other skills

  • Analytical Skills
  • Multitasking
  • Communication

About the company

ModMed logo

ModMed

ModMed is transforming healthcare by placing doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. With our electronic health records (EHR) and practice management (PM) systems, and our revenue cycle management (RCM) services, our all-in-one solution empowers specialty medical practices to do their best work by providing them with clinical, financial and operational software solutions designed to enable better, more personalized patient care. Our staff physicians help to develop products and services for dermatology, gastroenterology, ophthalmology, orthopedics, otolaryngology, pain management, plastic surgery, podiatry and urology practices, as well as ambulatory surgery centers. For more information, visit www.modmed.com.

Company details

Company typeLarge
Company size1001 - 5000

Links

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Job description

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
 
Reports to: RCM Operations Manager
 
At ModMed, we are 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 our software increases medical-practice success and improves patient outcomes.

We live by our core values: Create customer delight | Save time | Innovate boldly, then make things happen | Align passion with purpose | Think big. Have fun. Do good.
 
If you are a driven Revenue Cycle Management (RCM) professional who thrives in a fast-paced environment and enjoys solving operational puzzles, we want you on our team.
 
About the Role
 
As an RCM Operations Support Specialist, you will directly fuel our mission by keeping workflows moving smoothly through the RCM cycle. You will own the rapid resolution of operational RCM tasks within JIRA, directly contributing to customer delight by maintaining fast turnaround times. This hands-on role gives you the opportunity to identify trends, suggest process improvements, and make an immediate impact on practice outcomes.
 
What You’ll Do
 
  • Resolve Daily Operational Tasks : Provide swift, accurate JIRA ticket resolution, including insurance corrections, balance/statement inquiries, and patient ledger reconciliations. Support the Operations team in managing AR and Appeal JIRA tickets, fulfill administrative requests (e.g., W9 inquiries), and re-route complex inquiries as needed.
  • Drive Administrative & Continuous Improvement Projects : Participate in key administrative initiatives supporting document management and operational workflows. Identify systemic trends, surface opportunities for efficiency, and suggest controllable system improvements to leadership.
What You Bring
 
Minimum Qualifications
 
  • Education: Bachelor’s degree in any field.
  • Experience: 5+ years of experience in US Healthcare Revenue Cycle Management AR (RCM).
  • Payer Knowledge: Proven experience handling both Federal and Commercial insurance payers within a provider setup.
  • Technical Skills:
     
    • Strong understanding of CPT, ICD-10, and HCPCS coding.
    • Deep familiarity with billing scrubbers, clearinghouses, and payer rejections.
    • Sound knowledge of major Accounts Receivable (AR) scenarios across multiple payers.
  • Soft Skills: Excellent analytical, multitasking, and communication skills, with a track record of capturing detailed call notes and collaborating effectively across teams.
Preferred Qualifications
 
  • 5+ years of specialized experience focused on Medicaid/Medicare AR recovery.
Why You’ll Love Working Here
 
  • Agility & Growth: Thrive in an environment built for high growth where adaptability is celebrated as a key to success.
  • Inclusive Culture: Bring your authentic self to work—we embrace differences, hold ourselves accountable, and foster a sense of belonging for everyone.
  • Impactful Work: Every ticket you resolve helps doctors focus on what matters most: caring for patients.

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 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.

PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (first.lastname@modmed.com). Please check senders’ email addresses carefully.  Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.

ModMed Technologies India Private Limited follows a strict, merit-based and transparent recruitment process conducted only through official and authorized channels.

We do not:

  • Charge any fees, processing charges, or amount by any nomenclature, whether as a fee or deposit at any stage of the recruitment process;

  • Authorise any individual, employee, or third party to collect any such payments (regardless of nomenclature) to offer or facilitate or recruitment opportunities; or

  • Conduct hiring via informal messaging apps or personal email IDs.



All official communication is made only through verified channels, our website, and recognised recruitment platforms.

We strongly advise candidates not to share personal/financial information or make any payments in response to suspicious communications. Any such instances may be reported to us at hrcompliance@modmed.com .

ModMed Technologies India Private Limited will not be responsible for any loss arising from fraudulent or unauthorised communications.

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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