RCM Client Advisor

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as the main point of contact for designated medical practices.

• Build and nurture strong relationships to comprehend their specific RCM requirements, challenges, and organizational objectives.

• Oversee, track, and audit comprehensive revenue cycle management processes.

• Create, implement, and manage Practice Performance Plans that identify, quantify, and address issues affecting service levels and/or the delivery of contractual commitments.

• Review and assess customer accounts, A/R data, denial patterns, payer challenges, and coding trends.

• Formulate robust strategies and actionable plans to enhance revenue, suggest solutions, and streamline workflows.

• Conduct regular client meetings to deliver business metrics, KPIs, month-end reports, and proactive suggestions to guarantee high-quality service delivery of contracted services (including presentations to executive leadership for client accounts).

• Foster collaborative relationships and work closely with the internal RCM operations team, operational leadership, and on/offshore global partners to coordinate processes, resolve intricate issues, and ensure smooth service delivery.

• Provide significant value and customer service to client practices and their patients by efficiently identifying and resolving insurance, billing, and complex escalated issues.

• Act as a subject matter expert on processes and workflows pertinent to the RCM Advisor role.

• Maintain comprehensive knowledge of current healthcare industry trends, specialty-related changes, and ModMed software updates/releases.

• Participate in sales calls as necessary to showcase depth of domain expertise to potential clients.

• Execute additional projects and responsibilities as assigned.

⛳️ Requirements

• Bachelor's Degree preferred and/or relevant training or a combination of education and experience.

• A medical billing and coding certification is preferred.

• Demonstrated experience in a client or practice-facing role managing RCM performance for medical practices is preferred/required based on the specific book of business.

• Proven ability to analyze A/R, denial trends, and payer issues, as well as develop and present RCM KPIs and month-end reports (preferably to executive leaders).

• Extensive understanding of medical billing/coding, front-office operations, physician practice management, and healthcare business processes.

• Strong knowledge of various insurance carriers, including Medicare, private HMOs, and PPOs.

• Proficient in using formulas to analyze data, create tables and pivot tables, as well as formatting and conditional formatting (required).

• Ability to manage and integrate information across multiple software systems.

• Exceptional written, verbal, interpersonal, and client-facing presentation skills are required.

• Professional demeanor is required.

🏝️ Benefits

• Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution.

• 401(k): ModMed offers a matching contribution every payday of 50% of your deferred contribution on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to retain.

• 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 foster engaged and supportive communities within ModMed.

• Opportunities for professional development, including tuition reimbursement programs and unlimited access to LinkedIn Learning.

• Global presence with in-person collaboration opportunities; dog-friendly headquarters (US).

• Hybrid office-based roles with remote availability for certain positions.

• Weekly catered breakfast and lunch.

• Treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.