Patient Services Specialist II

ModMed; Northern (KY); Hybrid; USD 32,000 - 52,000; Full time

Benefits offered by this job

Health insurance

401(k) matching

Paid time off

Life & disability benefits

Flexible Spending Account

LinkedIn Learning access

Job summary

ModMed is seeking a Patient Claim Specialist to enhance the patient experience within our Revenue Cycle Management team. You will support patients across ModMed BOOST providers and doctors, ensuring their account needs are handled with excellence.

This role offers exposure to healthcare IT, billing processes, and patient interactions in a fast-paced environment with opportunities for growth within a collaborative, patient-centered company.

Qualifications

• Demonstrates strong customer-facing communication.

Responsibilities

• Serve as primary contact for inbound/outbound patient calls regarding balance inquiries, claims processing, insurance updates, and payments.
• Initiate outbound calls to patients to address account issues and insurance updates.
• Input and update patient account information in the Practice Management system.

Skills

Customer service

Phone etiquette

Communication skills

Teamwork

Time management

Education

High School Diploma or GED

Tools

Excel

Word

PowerPoint

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

ModMed is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient experience within our passionate, high-performing Revenue Cycle Management team. As a critical team member, you will support patients receiving care from ModMed BOOST service providers and doctors, ensuring their account needs are met excellently. This direct interaction with our customers' patients makes you an integral part of ModMed's business. It opens the door to an exhilarating career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced Healthcare IT company that is genuinely Modernizing Medicine!

Your Role

• Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections
• Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates
• Input and update patient account information and document calls into the Practice Management system

Special Projects

Other duties as required to support and enhance our customer/patient-facing activities

Skills & Requirements

• High School Diploma or GED required
• Availability to work 11:30 am - 8:30 pm EST OR 12:00 pm to 9:00 pm EST
• Manage/ field 60+ inbound calls per day
• Bilingual is preferred
• Minimum of 1-2 years of previous healthcare administration or related experience required
• Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs)
• Proficient knowledge of business software applications such as Excel, Word, and PowerPoint
• Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone
• Ability and openness to learn new things
• Ability to work effectively within a team in order to create a positive environment
• Ability to remain calm in a demanding call center environment
• Professional demeanor required
• Ability to effectively manage time and competing priorities

ModMed Benefits Highlight

• United States Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution
• 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
• Generous Paid Time Off and Paid Parental Leave programs
• Company paid Life and Disability benefits
• Flexible Spending Account
• Employee Assistance Programs
• Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed
• Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning
• Global presence and in-person collaboration opportunities; dog-friendly HQ (US)
• Hybrid office-based roles and remote availability for some roles
• Weekly catered breakfast and lunch
• Treadmill workstations
• Zen, and wellness rooms within our BRIC headquarters

Company Culture

It takes more than just a great product to modernize medicine. It takes a great team.

The work we do makes a difference. Our web and mobile applications are transforming healthcare information technology to increase practice efficiency and improve patient outcomes. Our innovative and collaborative culture fuels our growth and creates rewarding and empowering experiences for our team.