Modmed India RCM AR(Voice) Analyst - Hiring Drive

About The Job

We are united in our mission to make a positive impact on healthcare. Join Us!

• South Florida Business Journal, Best Places to Work 2024
• Inc. 5000 Fastest-Growing Private Companies in America 2024
• 2024 Black Book Awards, ranked #1 EHR in 11 Specialties
• 2024 Spring Digital Health Awards, Web-based Digital Health category for EMA Health Records (Gold)
• 2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara)
  
  
  Your Role
  
  
• Responsible for working assigned claims and running reports to identify claims that require a follow-up and resolve the denial by taking appropriate action as per Modmed guidelines.
• Ensuring timely follow up to save claims from getting written off due to untimely following up.
• Work on Contractual adjustments and write-off projects.
• Analyze previous notes and actions taken on claims; take the correct action on claims not handled correctly previously and bring that to the knowledge of the Quality Team.
• Identify opportunities to improve follow up process and recommend changes to be added/removed in the Practice Instructions or SOPs with any recent changes at the Payer end.
• Attend trainings to learn new updates, technologies, and techniques; enhancing knowledge of various scenarios and keeping abreast with the new updates is an important requirement for this role.
• Continuously self-audit to ensure quality standards are met.
• Review claim thoroughly and explore all possibilities to get claim resolved prior to assigning claims to any other Modmed or client buckets.
• Perform additional tasks or project work as assigned.
  
  

Skills & Requirements

• 2 to 4 years of experience as AR Follow-ups (Voice) in Physician RCM is a must
• Sound knowledge of working on Billing scrubbers and CH/Payer Rejections
• Understanding of other related functions in the RCM is required
• Proven experience of good Cash collected/Resolution rate
• Strong knowledge of Commercial & Federal payers, basic Coding concepts & CARC codes
• Knowledge of working and resolving Auto, WC , IPAs etc. is required
• Expert in listening and resolving problems
• Ability to interact positively with team members, peer groups, and seniors
• Being proficient in delivering a high-quality outcome is a must
• Capable of grasping new concepts quickly; Able to comprehend various training aids and process documentation
• Excellent written and verbal communication skills
• Strong knowledge of HIPAA guidelines
• Abide by the organizations information security policy and protect the confidentiality, integrity, and availability of all information assets
• Willing to work from the office in India night shift (5:30PM to 2:30AM).

Registration required for AR hiring drive - 8th Feb 2024

• Please reach out 8106046659 for registration
• Prefer Hyderabad based candidates
• Work from office