RCM Quality and Outcome Improvement Analyst
Core
Analyze Revenue Cycle Management (RCM) data to identify trends, prevent revenue leakage, and equip client success teams with operational insights for physician practices.
Role type
RCM Quality and Outcome Improvement Analyst
Builds
Data-driven operational insights and workflow automation for medical practices
Domain
Healthcare Revenue Cycle Management
Deliverable
dashboards & analysis
Required skills
End-to-end RCM experience, Physician Billing expertise, Intermediate Excel (formulas, pivot tables), KPI analysis, Data trend identification, Payer-provider credentialing knowledge, ERA enrollment processes
Preferred skills
Workflow automation design, Specialty-specific knowledge base management, Web portal credential creation
Responsibilities
Review claims assigned to ModMed buckets and determine strategic next steps; Track weekly Practice KPI metrics and performance presentations; Audit claims parked to the Practice level across all functions; Partner with global stakeholders to identify and resolve systemic issues affecting practice performance; Monitor payer-provider credentialing updates and pursue ERA enrollments; Create web portal credentials to expedite claim follow-up
Seniority
Mid-level, hands-on analyst