RCM Operations Coordinator

RCM Operations Coordinator

Requirements

• Bachelor’s degree (preferred)
• Certificate in Medical Billing & Coding preferred.
• 5+ years of related experience and/or training or equivalent combination of education and experience.
• Experience working with offshore teams/vendors is required.
• Exceptional written, verbal, and interpersonal communication skills are required.
• Comprehensive understanding of the full revenue cycle process for claim submission, medical insurance policies, and ICD-10 and CPT coding guidelines.
• Strong understanding and knowledge of Payer Policies, guidelines, and procedures.
• Expertise in medical billing, front-office, physician practice management and healthcare business processes.
• Knowledge of Fee For Service, Capitation, and Workers’ Compensation.
• Advanced Excel skills such as the ability to use formulas to analyze data, create and format pivot tables and templates, use and conditional formatting and validation functions.
• Able to create visualizations of data through charts and graphs.
• Mastery of spreadsheets including the ability to manage information located in multiple software systems.
• Develop expertise in respective ModMed products (PM or gPM) within 5 months of employment.
• Ability to demonstrate and assist staff with the development of their Excel skills.
• Excellent time management & organizational skills.
• A professional demeanor is required.
• Actively works to promote a positive work environment.

Responsibilities

• Facilitate communication between various internal groups and the global RCM teams to maintain a strong partnership on a day-to-day basis.
• Monitor client KPIs and work closely on any identified issues for the progression of performance of the RCM Global Teams.
• Meet regularly with global vendor partners to communicate operational needs and receive their responses and feedback.
• Analyze trends to identify any process or operational gaps. Work with internal teams and vendor partners to close these gaps in a timely manner.
• Work closely with internal teams on various requests from global teams on data and reporting to assist with delivering services more efficiently.
• Assist in monitoring SLAs for our global partners as well as internal teams. Ensure availability and participation in review meetings while documenting the key actionable items for further follow-up.
• Convey ModMed policies, procedures, and other required updates to global teams.
• Help global teams resolve IT and access issues.
• Interface between global and implementation teams during pre and post-implementation phases or new business.
• Serve as a point person on the Operations side for client escalations.
• Monitor JIRA tickets to identify trends and issues and work together with Global Team and Client Advisors to identify and implement solutions to avoid reoccurrence wherever possible.
• Work with stakeholders to address tickets appropriately and timely.
• Bridge communication gaps between internal teams and operations to ensure information is flowing into and out of operations effectively.
• Assist Client Advisors in reviewing and analyzing customer accounts, identifying trends and issues, and recommending solutions.
• Sync and collaborate with key stakeholders to understand operational opportunities and concerns and ensure proposed solutions will effectively address any issues and scale appropriately.
• Ensure review and accuracy of Power BI Dashboards and bring in important data points for discussion during internal and external meetings.
• Responsible for review and analysis of meaningful touch rate to improve process efficiencies and the outcome.
• Actively participate in weekly meetings.
• Ensure ModMed billing policies and procedures are followed. Communicate company goals and productivity with team members to create alignment and deliver high levels of customer service.
• Perform additional projects and job duties as assigned.

Preferred Qualifications

• Bachelor’s degree (preferred)
• Certificate in Medical Billing & Coding preferred.

Benefits

No information provided on Benefits.