Manager, RCM Performance Analytics

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)

Who we are:

We Are Modernizing Medicine (WAMM)! We’re a team of bright, passionate, and positive problem-solvers 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 the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed is based in Boca Raton, FL, with office locations in Santiago, Chile, Berlin, Germany, Hyderabad, India, and a robust remote workforce with team members across the US.

ModMed is hiring a driven Manager, RCM Performance Analytics to join our positive, passionate, and high-performing Revenue Cycle team focused on utilizing data-driven insights to enhance operational efficiency, drive revenue growth, and support informed decision-making across the organization. This is an exciting opportunity to take a proactive approach to ensure healthy metrics within a fast-paced Healthcare IT company that is truly Modernizing Medicine!

Your Role:

• Manage and mentor a team of RCM Performance Analysts, fostering a culture of collaboration, accountability, and continuous improvement.
• Oversee the collection, analysis, and reporting of RCM performance metrics. Develop dashboards and reports to communicate insights and trends to senior management and stakeholders.
• Identify areas for improvement within the revenue cycle processes, implementing strategies to enhance efficiency, reduce denials, and optimize revenue capture.
• Work closely with cross-functional teams, including Coding, Client Success, Operations and other BOOST departments to ensure alignment on client performance goals and initiatives.
• Facilitate communication between billing, coding, finance, and operations teams to ensure alignment on performance goals and data integrity.
• Contribute to the development of strategic plans aimed at improving overall revenue cycle performance, leveraging data insights to drive decision-making.
• Design and implement training programs for staff on RCM metrics, data interpretation, and best practices in performance analytics.
• Ensuring the accuracy and reliability of the RCM Performance Analysts data to inform decision-making.
• Identifying bottlenecks or inefficiencies in BOOST processes that lead to delays or revenue loss.
• Analyzing patterns in claim denials and developing strategies to reduce their occurrence.

Skills & Requirements:

• Bachelors degree preferred
• 5 years RCM or performance analytics experience
• Proven ability to lead and manage teams, with experience in training and mentoring staff.
• 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

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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, including:

• Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution,
• 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
• 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 provide engaged and supportive communities within ModMed,
• Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning,
• Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles,
• Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.