RCM QA Specialist

ModMed India; Hyderabad; Sur place; INR 700 000 - 1 100 000; Plein temps

Avantages offerts par ce poste

Health insurance

Meals & Snacks program

Annual wellness allowance

Paid leave (earned, casual, sick)

Résumé du poste

ModMed India seeks an experienced RCM QA Specialist to ensure accuracy, compliance, and high-quality Revenue Cycle Management processes. You will audit transactions and call reviews, supporting continuous improvement to deliver optimal client outcomes.

The role requires a Bachelor's degree, 4+ years in RCM with at least 1 year in auditing, and proficiency in Basic Excel. Join a culture focused on excellence, collaboration, and delivering healthcare value.

Qualifications

• Bachelor’s degree in any discipline is mandatory.
• 5+ years of total RCM experience preferred, with at least 1 year in auditing.
• Minimum 4 years of experience in Revenue Cycle Management (RCM).
• Proficiency in Basic Excel for data tracking and reporting.

Responsabilités

• Auditing & Compliance: Conduct detailed audits of transactions and call reviews to ensure adherence to policies and payer requirements.
• Feedback & Coaching: Provide direct feedback during 1:1 sessions or team huddles.
• Discrepancy Documentation: Identify and document errors or non-compliant practices.
• Process Improvement & Innovation: Participate in FMEA sessions to propose data-driven improvements.
• Collaboration: Partner with operations during calibration sessions to clarify audit guidelines.
• Reporting: Create daily, weekly, and monthly audit reports.
• Dispute Resolution: Respond to audit rebuttals and escalate when needed.

Connaissances

RCM knowledge

Auditing

Accountability

Communication

Customer focus

Agility

Formation

Bachelor’s degree

Outils

Basic Excel

Description du poste

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:

Job Description

RCM QA Specialist

• bold*Location: Hyderabad
• bold*Department: Revenue Cycle Management (RCM)
• bold*Reports to: Team Manager, Quality Assurance

Who We Are

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 the software we build increases medical-practice success and improves patient outcomes.

We Live By Our Core Values

• Create Customer Delight and Save Time.
• Innovate Boldly, then make things happen.
• Align Passion with Purpose.
• Think Big. Have Fun. Do Good.

The Role

We are looking for an RCM QA Specialist to join our team. This role is essential to our mission, ensuring that our Revenue Cycle Management processes are accurate, compliant, and of the highest quality. You will be a guardian of our standards, auditing transactions and identifying opportunities for continuous improvement to ensure we are delivering the best possible outcomes for our clients.

What You’ll Do

• Auditing & Compliance : Conduct detailed audits of transactions and call reviews to ensure strict adherence to company policies, regulatory guidelines, and payer requirements.
• Feedback & Coaching : Provide direct, constructive verbal feedback during 1:1 sessions or team huddles to help colleagues improve and align with quality standards.
• Discrepancy Documentation : Diligently identify and document errors or non-compliant practices using standard protocols.
• Process Improvement & Innovation: Participate in FMEA (Failure Mode and Effects Analysis) sessions to identify root causes and propose data-driven improvement suggestions.
• Collaboration: Partner with operations teams during calibration sessions to clarify audit guidelines and share knowledge.
• Reporting: Create daily, weekly, and monthly audit reports to provide visibility into quality trends for internal teams.
• Dispute Resolution: Respond to audit rebuttals in a timely manner, escalating complex issues to senior leadership when necessary.

What You Bring

• Education: A Bachelor’s degree in any discipline is mandatory.
• 5+ years of total RCM experience is preferred, with at least 1 year specifically in an auditing role.
• Experience: * A minimum of 4 years of experience in Revenue Cycle Management (RCM) is required.
• Technical Skills: Proficiency in Basic Excel is required for data tracking and reporting.
• Mindset: * Accountability: You take ownership of outcomes and hold yourself to high standards.
• Communication: You can clearly express ideas and build trust across multiple sub-business units.
• Customer Focus: You are dedicated to building positive relationships and delivering solutions that delight our customers.
• Agility: You embrace change and see it as an opportunity for growth.

Why Join ModMed?

You’ll be part of a culture that values innovation and purposeful work. You will have the opportunity to directly impact the efficiency of medical practices, helping them spend less time on paperwork and more time with patients.

ModMed is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

• bold*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.
• bold*ModMed Technologies India Private Limited follows a strict, merit-based and transparent recruitment process conducted only through official and authorized channels.

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] .

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