RCM AR Analyst

Job Title: RCM AR Analyst US Healthcare (2–5 Years)

ModMed India - Hiring Drive Details

Date: 28th February
Location: Hyderabad
Contact Number: 7337517660

If you are interested in attending the drive and would like to know more about the role, please reach out to us.

Company Overview

Our Mission & Vision

At ModMed, our mission is to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. We envision a world where the software we build increases medical practice success and improves patient outcomes.

Joining our team means aligning your passion with purpose. We innovate boldly, think big, and save time for the healthcare heroes who rely on our tools every day. We’re looking for individuals who want to do good and have fun while contributing to a world-class healthcare ecosystem.

Job Summary

The Associate will be responsible for managing assigned Denied and AR claims, ensuring timely resolution while meeting productivity and quality benchmarks. The role involves close coordination with the Team Manager, strict adherence to SOPs and internal tools, and a strong focus on first-time resolution to minimize multiple follow-ups.
Key Roles & Responsibilities

• Work daily assigned denied and AR follow-up claims and resolve them in coordination with the Team Manager.
• Ensure assigned claims are completed within defined productivity and quality targets.
• Adhere strictly to SOPs and internal tools to maintain high-quality claim resolution.
• Focus on resolving claims effectively rather than repeated follow-ups, minimizing multiple touches.
• Prioritize work orders using various strategies such as:
• High aging claims
• High-dollar claims
• Payer-wise prioritization
• Run reports to perform deep-dive analysis and identify bulk claim issues.

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• Identify trends and root causes to reduce denials and prevent avoidable rework.

Education Qualification

• Education Level: Bachelor’s Degree
• Field of Study: Graduation in any stream

Required Experience & Qualifications

• Minimum 2 to 5 years of experience in US Healthcare RCM with a focus on AR Calling.
• Experience handling both Federal and Commercial insurance payers in a provider setup.
• Strong knowledge of billing scrubbers, clearing house, and payer rejections.
• Good understanding of major AR scenarios across multiple payers.
• Excellent communication and analytical skills.
• Strong multitasking ability, including taking detailed call notes and collaborating with multiple stakeholders.