Experienced Medical Billing Customer Experience Team Lead for End-to-End Revenue Cycle Management at blithequark

Remote Full-time
Join blithequark, a Global Leader in Digital Business Services blithequark is a global, digital business services company that empowers the world's top brands to streamline their operations in meaningful and sustainable ways. With a workforce of over 410,000 passionate individuals speaking more than 300 languages, blithequark's global scale and local presence enable it to make a positive impact on its communities, clients, and the environment. Purpose of the Role blithequark is seeking a highly competent Denial Management, Pre-Reg, Auth, and Patient Financial Contact Center (PFCC) Specialist to lead its Medical Billing Customer Experience Team. As a key member of the team, you will be responsible for providing expert support within the medical billing department related to all medical payers, ensuring end-to-end Revenue Cycle Management (RCM) for collecting pending payments. Key Responsibilities Provide exceptional care to the frontlines by supporting the execution and achievement of functional areas and company goals. Collaborate with internal departments to resolve issues related to all tasks and assignments, ensuring seamless business operations. Serve as the primary point of contact for internal and external customer inquiries, addressing insurance companies and patient concerns with professionalism and expertise. Utilize software and company systems to source, obtain, process, audit, and analyze standard data, presenting findings and insights to stakeholders. Organize, prioritize, and execute tasks and activities with urgency, adhering to managerial assignments and deadlines. Respond to and resolve issues related to Auth/Pre-Reg, AR Denials, patient and billing inquiries, seeking leadership guidance for non-routine or escalated concerns. Deliver outstanding customer service to patients and insurance representatives, ensuring a positive experience and building trust. Essential Qualifications To excel in this role, you should possess: A degree with a minimum of 4 years of experience in denial management/AR Collection, Pre-Reg, Auth for US Healthcare processes. EPIC experience is highly preferred. Proficiency in EPIC software and other relevant systems. In-depth knowledge of Denial Management, Pre-Reg, Auth, and PFCC processes. A strong understanding of common healthcare industry terminology, practices, and procedures regarding billing and reimbursement. Familiarity with Government/Commercial payers' reimbursement processes. Excellent oral and written communication skills, with the ability to negotiate effectively. Proficiency in using Windows-based computer systems and common business software found in Microsoft Suite (Excel, PowerPoint, Outlook, etc.). The ability to work independently, effectively, and efficiently, with a high level of ethics and a courteous, professional demeanor. Strong multitasking skills, with the ability to establish and meet deadlines. A typing/data entry speed of at least 40 wpm. Preferred Qualifications While not mandatory, the following qualifications can enhance your candidacy: Additional experience in related healthcare operations or customer experience roles. Certifications or training in healthcare billing, coding, or revenue cycle management. Familiarity with other healthcare software and systems beyond EPIC. What We Offer At blithequark, we are committed to providing a work environment that is conducive to happiness, productivity, and a healthy work-life balance. Our benefits include: Paid training to enhance your skills and knowledge. Competitive wages that reflect your value to our organization. A comprehensive benefits package, including medical, dental, vision, 401k, and more. Paid time off to recharge and relax. Employee wellness and engagement programs to support your overall well-being. Career Growth and Development blithequark is dedicated to fostering a culture of inclusion, diversity, and continuous learning. As a member of our team, you will have opportunities to: Develop your skills and expertise through training and professional development programs. Advance your career within the organization, with opportunities for growth and promotion. Collaborate with a diverse and global team, sharing knowledge and best practices. Work Environment This is a 100% work-from-home position, offering the flexibility and autonomy to manage your work schedule and environment. As a remote team member, you will be expected to maintain a high level of professionalism, discipline, and communication. Why Join blithequark? blithequark is an Equal Opportunity Employer that values diversity, inclusion, and employee well-being. By joining our team, you will become part of a global community that is passionate about delivering exceptional customer experiences and making a positive impact on the world. If you are a motivated and experienced professional looking for a challenging and rewarding role, we encourage you to apply to blithequark today. Take the first step towards a fulfilling career with a company that cares about its employees and the communities it serves. Don't miss this opportunity to be part of a dynamic and growth-oriented organization. Apply now and discover a world of possibilities at blithequark! Apply for this job
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