Patient Claims Specialist

Florida, United States

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Not SpecifiedCompensation

Entry Level & New GradExperience Level

Full TimeJob Type

UnknownVisa

Healthcare, Information TechnologyIndustries

Requirements

A High School Diploma or GED is required, along with 1-2 years of experience in healthcare administration or a related field. Candidates must have a basic understanding of medical billing claims submission and working with insurance carriers, proficiency in business software like Excel, Word, and PowerPoint, and strong communication and interpersonal skills. Availability to work specific PST or EST hours and the ability to manage 60+ inbound calls daily are also necessary. Bilingual skills in Spanish and English are a plus.

Responsibilities

The Patient Claims Specialist will serve as the primary contact for patient inquiries regarding balances, claims processing, insurance updates, and payment collections. They will initiate outbound calls to patients to address account or payment issues and update patient account information in the Practice Management system. This role also involves documenting calls and undertaking special projects to support customer-facing activities.

Skills

Patient Claims

Claims Processing

Insurance

Customer Service

Healthcare IT

Revenue Cycle Management

Modernizing Medicine

Specialty-specific electronic health record systems

About Modernizing Medicine

Modernizing Medicine provides specialty-specific Electronic Health Records (EHR) systems designed to improve the workflow of healthcare providers. Their main products, EMA and gGastro EHR, help users manage patient information and administrative tasks more efficiently, allowing them to concentrate on patient care. These systems adapt to the specific practices of each user, enhancing their effectiveness. Unlike many competitors, Modernizing Medicine focuses on tailored solutions for various medical specialties, which sets them apart in the healthcare technology market. The company's goal is to streamline healthcare delivery and improve patient outcomes by providing tools that simplify administrative processes.

Boca Raton, FloridaHeadquarters

2010Year Founded

$360.6MTotal Funding

LATE_VCCompany Stage

Biotechnology, HealthcareIndustries

1,001-5,000Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Health Savings Account/Flexible Spending Account

Unlimited Paid Time Off

Paid Vacation

Paid Sick Leave

Paid Holidays

Parental Leave

401(k) Retirement Plan

401(k) Company Match

Professional Development Budget

Conference Attendance Budget

Hybrid Work Options

Remote Work Options

Wellness Program

Risks

Potential sale by Warburg Pincus could lead to strategic shifts misaligned with current goals.

Resistance to AI technologies may slow implementation and affect user satisfaction.

Dependency on Medtronic's technology poses risks if partnership faces challenges or strategic changes.

Differentiation

ModMed offers specialty-specific EHR systems, enhancing workflow efficiency for healthcare providers.

Their EHR systems, EMA and gGastro, adapt to user practices, increasing adaptability.

ModMed integrates AI technologies, like Medtronic's GI Genius, to improve procedural accuracy.

Upsides

ModMed consistently ranks #1 in G2's 2024 Grid Reports for EHR and RCM software.

Collaboration with Brevium enhances patient re-engagement, boosting retention in gastroenterology practices.

Appointment of Dan Costantino as CISO strengthens cybersecurity, crucial for healthcare data protection.

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