RCM AR Analyst

Enboarder; Hyderabad; On-site; INR 450,000 - 650,000; Full time

Benefits offered by this job

Office meals

Health insurance

Wellness allowance

Paid leave

Bereavement leave

Parental leave

Celebration leave

Company holidays

Job summary

ModMed is seeking an Associate to manage denied and Accounts Receivable (AR) claims, ensuring timely resolution while meeting productivity and quality benchmarks. The role requires close coordination with the Team Manager, strict SOP adherence, and a focus on first-time resolution to minimize follow-ups.

Responsibilities include daily denial/AR follow-ups, priority-based claim handling, and running analyses to identify trends and root causes to reduce future denials.

Qualifications

• Minimum 2+ years of experience in US Healthcare RCM focusing on AR Calling.
• Experience handling Federal and Commercial insurance payers in a provider setup.
• Solid knowledge of billing scrubbers, clearing houses, and payer rejections.
• Strong communication and analytical skills.

Responsibilities

• Work daily denied and AR follow-up claims and resolve with Team Manager.
• Meet defined productivity and quality targets for assigned claims.
• Adhere to SOPs and internal tools to ensure high-quality resolution.
• Focus on resolving claims efficiently to minimize follow-ups.
• Prioritize work by aging, high-dollar amounts, and payer-wise needs.
• Run reports to identify bulk claim issues and trends.
• Identify root causes to reduce denials and avoid rework.

Skills

AR Calling

Billing Scrubbers

Clearing House

Payer Rejections

Communication

Analytical

Multitasking

Education

Bachelor’s Degree

Job description

Job Description Summary

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