RCM Operations Support Specialist

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.
• Resolve Administrative Requests: 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 Opportunities for Efficiency: 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.

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.

Disclaimer: This job posting has been aggregated from external source. Role details, content, and availability are subject to change. Applicants are advised to confirm the latest information directly on the company website before applying.