RCM AR Analyst

ModMed India; Hyderabad; On-site; INR 350,000 - 550,000; Full time

Benefits offered by this job

Meals & Snacks

Comprehensive health insurance

Wellness allowance

Paid leaves including parental

Bereavement leave

Job summary

ModMed India is seeking an Associate to manage denied and AR follow-up claims within US Healthcare RCM. You will work closely with the Team Manager to meet productivity and quality targets and ensure first-time resolution.

Responsibilities include prioritizing aging and high-dollar claims, adhering to SOPs, running reports, and identifying root causes of denials to reduce rework, while communicating clearly with payers and internal stakeholders.

Qualifications

• Bachelor’s Degree in any field.
• 2+ years of experience in US Healthcare RCM with a focus on AR calling.
• Experience handling both Federal and Commercial payers in a provider setup.
• Strong knowledge of billing scrubbers, clearing house, and payer rejections.

Responsibilities

• Work daily on denied and AR follow-up claims with the Team Manager.
• Ensure claims are completed within defined productivity and quality targets.
• Adhere to SOPs and internal tools to maintain high-quality resolution.
• Focus on first-time resolution to minimize follow-ups.
• Prioritize work orders by aging, high-dollar amounts, and payer-wise prioritization.
• Run reports to identify bulk claim issues and perform deep-dive analysis.
• Identify trends and root causes to reduce denials and rework.

Skills

AR calling

US Healthcare RCM

Communication

Analytical thinking

Education

Bachelor’s Degree

Tools

Billing scrubbers

Clearing house

Payer rejections

Job description

Job Description

Join the Team Modernizing Medicine

At ModMed, we’re not just building software - we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: we hired doctors and taught them how to code. This "for doctors, by doctors" philosophy has allowed us to create an AI-enabled, specialty-specific cloud platform that places patients at the center of care.

When You Join ModMed, You’re Joining An Award-winning Team Recognized For Innovation And Employee Satisfaction. From Our Global Headquarters In Boca Raton Florida, And Extensive Employee Base In Hyderabad India, We Are a Team Of 4,500+ Passionate Problem-solvers On a Mission To Increase Medical Practice Success And Improve Patient Outcomes

• Consistently ranked as a Top Place to Work
• 2025 Globee Business Awards: Gold Globee for "Technology Team of the Year"
• 2025 Black Book Awards: Ranked #1 EHR in 11 Specialties
• Florida Venture Forum: Venture-Backed Company of the Year

We are growing fast, thinking big, and we are just getting started.

Job Description Summary

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 Accounts Receivable (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.
• 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+ 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.

ModMed Benefits Highlight

• Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk,
• Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees,
• Allowances: Annual wellness allowance to support your well-being and productivity,
• Earned, casual, and sick leaves to maintain a healthy work-life balance,
• Bereavement leave for difficult times and extended medical leave options,
• Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave,
• Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind.

We do not:

• Charge any fees, processing charges, or amount by any nomenclature, whether as a fee or deposit at any stage of the recruitment process;
• Authorise any individual, employee, or third party to collect any such payments (regardless of nomenclature) to offer or facilitate or recruitment opportunities; or
• Conduct hiring via informal messaging apps or personal email IDs.

All official communication is made only through verified channels, our website, and recognised recruitment platforms.

We strongly advise candidates not to share personal/financial information or make any payments in response to suspicious communications. Any such instances may be reported to us at [e-mail] .

• ModMed Technologies India Private Limited will not be responsible for any loss arising from fraudulent or unauthorised communications.