RCM Operations Support Specialist

About the Role

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.
• 5+ years of experience in US Healthcare Revenue Cycle Management AR (RCM).

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.
• PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address ([email protected]). Please check senders’ email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.
• 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 [email protected]. ModMed Technologies India Private Limited will not be responsible for any loss arising from fraudulent or unauthorised communications.
• ModMed Technologies India Private Limited follows a strict, merit-based and transparent recruitment process conducted only through official and authorized channels.
• 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 [email protected].
• ModMed Technologies India Private Limited will not be responsible for any loss arising from fraudulent or unauthorised communications.

Responsibilities

• 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.