Patient Services Specialist II

Job Description Summary

ModMed is hiring a Patient Claim Specialist to play a pivotal role in shaping a positive patient experience within our Revenue Cycle Management team. This role involves supporting patients receiving care from ModMed BOOST service providers and doctors, ensuring their account needs are met excellently.

About the 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 9 am to 6 pm EST
• Ability to work in our Boca Raton Headquarters in Florida on a hybrid basis
• 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)
• Manage/ field 60+ inbound calls per day
• Bilingual is preferred
• 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
• Able to effectively manage time and competing priorities

ModMed 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
• 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

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 (first.lastname@modmed.com). 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.