RCM Customer Success Specialist 1

Enboarder; United States; Hybrid; USD 56,000 - 80,000; Full time

Benefits offered by this job

Health benefits

401(k) matching

Paid time off

Life and disability benefits

Tuition reimbursement

Job summary

ModMed is hiring a customer-focused Associate RCM Client Advisor to join our Revenue Cycle Management team. In this entry-level, client-facing role, you will handle day-to-day transactional tasks across client accounts, triage inquiries, and educate staff on best practices to mitigate churn risk.

You will work with Client Advisors and operations to triage cases, identify trending issues, and help optimize client outcomes, aiming for high CSAT and opportunities for expansion.

Qualifications

• Minimum 2 years of related experience in medical billing, healthcare business processes, or revenue cycle management, or equivalent education/experience.
• Bachelor's Degree or equivalent work experience preferred.
• Medical Billing Certification preferred.
• Solid knowledge of medical billing, insurance carriers (Medicare, HMOs, PPOs).

Responsibilities

• Manage incoming client emails, support cases, and transactional questions regarding charges, payments, and claims, ensuring resolution within a 48-hour SLA.
• Conduct claim-level denial reviews, patient balance reviews, and demographic reviews with client staff.
• Manage phone queues and route inquiries to internal teams as needed.
• Identify larger claim issues, recurring trends, or contract-related matters for escalation.
• Oversee daily support across ~20 client accounts, delivering strong customer service to office staff.
• Act as a Business Systems Analyst by documenting client issues and preparing materials for subject matter experts.

Skills

Medical billing

Revenue cycle management

Customer service

Excel

Communication

Time management

Education

Bachelor's Degree or equivalent

Medical Billing Certification preferred

Tools

PowerPoint

CRM software

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 customer-focused Associate RCM Client Advisor to join our high-performing Revenue Cycle Management (RCM) team. In this client-facing, entry-level role, you will provide essential tactical support across assigned client accounts by managing day-to-day transactional tasks, including client emails, support cases, and phone calls. The Associate RCM Client Advisor triages incoming inquiries, researches claim-level performance issues, and educates practice office staff on best practices to ensure daily operational health and mitigate ground-level churn risk. Working closely with Client Advisors and internal operations, you will assist with case triage, elevate trending claim issues, and help optimize client outcomes—with success measured by high CSAT scores, client referenceability, and the identification of expansion opportunities.

Your Role:

• Manage incoming client emails, support cases, and transactional questions regarding charges, payments, and claims, ensuring resolution within a 48-hour SLA.

• Conduct claim‑level denial reviews, patient balance reviews, and demographic reviews directly with client practice staff.

• Manage phone queues related to transactional questions and route inquiries to appropriate internal parties as needed.

• Identify and elevate larger claim issues, recurring trends, or contract‑related matters to the Client Advisor or appropriate functional teams for resolution.

• Oversee daily support management across approximately 20 assigned client accounts, delivering exceptional customer service to Office Managers, billers, and front‑desk staff.

• Act as a Business Systems Analyst by reviewing individual client issue examples to diagnose underlying problems using product knowledge or preparing documentation for internal subject matter experts.

• Identify repetitive workflow bottlenecks, flag recurring claim errors or internal process gaps to leadership, and suggest improvements to client-facing documentation and training materials.

• Assist leadership and broader account teams in authoring and executing tactical risk mitigation plans for accounts identified as at‑risk.

• Identify client pain points and operational gaps that could be resolved by additional ModMed services.

• Perform additional projects and job duties as assigned.

Skills & Requirements:

• Minimum of 2 years of related experience and/or training in medical billing, healthcare business processes, or revenue cycle management (or an equivalent combination of education and experience) required.

• Bachelor's Degree or equivalent work experience preferred.

• Medical Billing Certification preferred.

• Solid knowledge of medical billing and coding, healthcare business processes, and a strong understanding of insurance carriers including Medicare, private HMOs, and PPOs.

• Basic Microsoft Excel skills (formulas, functions, formatting) and PowerPoint skills required.

• Detailed written, verbal, and interpersonal communication skills with high attention to detail.

• Strong organization and time management skills with the demonstrated ability to multitask in a fast‑paced environment.

• Ability to work effectively both independently and as part of a collaborative team.

• Alignment with ModMed core competencies, including Accountability, Agility, Customer Focus, Communication, and Results Driven.

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:

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, and 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.