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Job Description
Structured overview of role & requirementsAbout This Role
Manage and follow-up on insurance claims with no response or denials to ensure timely resolution and prevent write-offs.
Analyze claims histories and take corrective actions, coordinating with Quality Team and recommending process improvements for follow-up procedures.
Work on contractual adjustments and write-off projects while adhering to ModMed guidelines and quality standards.
Minimum Requirements
Minimum 2+ years of experience in AR Follow-ups (Voice) within Physician Revenue Cycle Management (RCM).
Strong knowledge of Commercial and Federal payers, billing scrubbers, CH/Payer rejections, and understanding of basic coding concepts and CARC codes.
Experience with Auto, Workers Compensation (WC), IPAs claim resolution required.
Willingness to work night shift (5:30 PM to 2:30 AM) from office in India.
Ideal Candidate Profile
Experienced in multiple facets of Physician RCM AR with demonstrated ability to achieve strong cash collection and claim resolution rates.
Able to analyze claim data thoroughly and identify process improvement opportunities in practice instructions and SOPs.
Comfortable working onsite during night shifts, adapting quickly to new training, and maintaining high-quality outcomes in a structured operational environment.