RCM AR Analyst

ModMed Technologies India Private Limited; Hyderabad; On-site; INR 500,000 - 700,000; Full time

Benefits offered by this job

Meals & Snacks

Comprehensive health insurance

Wellness allowance

Annual leaves & paid holidays

Job summary

ModMed Technologies India Private Limited is seeking an Associate to manage denied and AR follow-up claims in US Healthcare RCM, coordinating with the Team Manager, and adhering to SOPs to achieve first-time resolution and high-quality outcomes.

Responsibilities include prioritizing high aging and high-dollar claims, running reports for issue identification, and reducing denials across payers through trend analysis and process improvements.

Qualifications

• Excellent communication and analytical skills.
• Strong multitasking ability with attention to detail.

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 strategies such as high aging and 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 rework.

Skills

Communication

Analytical skills

Multitasking

Education

Bachelor’s Degree

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.

A Culture of Excellence

When you join ModMed, you’re joining an award-winning team recognized for innovation and employee satisfaction.

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

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

Company Culture

Diverse thinking is not only welcomed; it’s essential. Here, you’ll have access to the people and tools to move faster and think bigger. Most of all, we live by the power of inclusion and the decisiveness of conclusion. Because when bold ideas meet bold action, real progress happens.