RCM Operations Support Specialist

Enboarder; Hyderabad; On-site; INR 6,208,000 - 8,596,000; Full time

Benefits offered by this job

Meals & Snacks

Comprehensive health insurance

Wellness allowance

Paid time off

Job summary

ModMed is seeking an experienced RCM Operations Support Specialist to keep healthcare revenue cycles moving smoothly. You will resolve daily operational tasks in JIRA, manage AR/appeals, and support administrative projects to improve efficiency across the RCM workflow.

The role requires 5+ years in US Healthcare RCM, strong CPT/ICD-10/HCPCS knowledge, and excellent analytical and communication skills. Join a platform advancing healthcare with doctors and technology.

Qualifications

• Bachelor’s degree in any field.
• 5+ years of experience in US Healthcare Revenue Cycle Management (RCM).
• Experience handling Federal and Commercial payers within a provider setup.
• Strong understanding of CPT, ICD-10, and HCPCS coding.
• Familiarity with billing scrubbers, clearinghouses, and payer rejections.
• Knowledge of AR scenarios across multiple payers.
• Excellent analytical, multitasking, and communication skills.

Responsibilities

• Resolve daily operational tasks with fast, accurate JIRA ticket resolution (insurance corrections, balance inquiries, patient ledger reconciliations).
• Support AR and Appeal JIRA tickets; fulfill administrative requests (e.g., W9 inquiries); re-route complex inquiries as needed.
• Participate in administrative initiatives supporting document management and operational workflows; identify trends and opportunities for efficiency.

Skills

CPT/ICD-10/HCPCS

Billing scrubbers

Payer rejections

AR patterns

Analytical skills

Communication

Education

Bachelor’s degree

Tools

JIRA

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. 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.

Ready to modernize medicine with us?

Job Description Summary:

RCM Operations Support Specialist

Reports to: RCM Operations Manager

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

We live by our core values: Create customer delight | Save time | Innovate boldly, then make things happen | Align passion with purpose | Think big. Have fun. Do good.

If you are a driven Revenue Cycle Management (RCM) professional who thrives in a fast-paced environment and enjoys solving operational puzzles, we want you on our team.

About the Role

As an RCM Operations Support Specialist, you will directly fuel our mission by keeping workflows moving smoothly through the RCM cycle. You will own the rapid resolution of operational RCM tasks within JIRA, directly contributing to customer delight by maintaining fast turnaround times. This hands-on role gives you the opportunity to identify trends, suggest process improvements, and make an immediate impact on practice outcomes.

What You’ll Do

• Resolve Daily Operational Tasks : Provide swift, accurate JIRA ticket resolution, including insurance corrections, balance/statement inquiries, and patient ledger reconciliations. Support the Operations team in managing AR and Appeal JIRA tickets, fulfill administrative requests (e.g., W9 inquiries), and re-route complex inquiries as needed.
• Drive Administrative & Continuous Improvement Projects : Participate in key administrative initiatives supporting document management and operational workflows. Identify systemic trends, surface opportunities for efficiency, and suggest controllable system improvements to leadership.

What You Bring

Minimum Qualifications

• Education: Bachelor’s degree in any field
• Experience: 5+ years of experience in US Healthcare Revenue Cycle Management AR (RCM)
• Payer Knowledge: Proven experience handling both Federal and Commercial insurance payers within a provider setup
• Technical Skills:
  • Strong understanding of CPT, ICD-10, and HCPCS coding
  • Deep familiarity with billing scrubbers, clearinghouses, and payer rejections
  • Sound knowledge of major Accounts Receivable (AR) scenarios across multiple payers
• Soft Skills: Excellent analytical, multitasking, and communication skills, with a track record of capturing detailed call notes and collaborating effectively across teams

Preferred Qualifications

• 5+ years of specialized experience focused on Medicaid/Medicare AR recovery

Why You’ll Love Working Here

• Agility & Growth: Thrive in an environment built for high growth where adaptability is celebrated as a key to success
• Inclusive Culture: Bring your authentic self to work—we embrace differences, hold ourselves accountable, and foster a sense of belonging for everyone
• Impactful Work: Every ticket you resolve helps doctors focus on what matters most: caring for patients.

ModMed Benefits Highlight: At ModMed, we believe it's important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:

• 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.