**Experienced Medical Billing Customer Experience Trainer / Quality Assurance Specialist – End-to-End Revenue Cycle Management**
At arenaflex, we're a global, digital business services company that's passionate about delivering the most advanced, digitally powered business services to help the world's best brands streamline their business in meaningful and sustainable ways. With over 410,000 inspired and passionate people speaking more than 300 languages, our global scale and local presence allow us to be a force of good in supporting our communities, our clients, and the environment.
**About arenaflex**
arenaflex is a company that values its employees and strives to create a work environment that is conducive to happiness and a healthy work-life balance. We believe that when employees are happy and healthy, they are more productive, creative, and engaged. Our mission is to always provide an environment where our employees feel valued, inspired, and supported, so that they can bring their best selves to work every day.
**Benefits of Working with arenaflex**
* Paid Training
* Competitive Wages
* Full Benefits (Medical, Dental, Vision, 401k and more)
* Paid Time Off
* Employee wellness and engagement program
**Job Summary**
We are looking for a competent Denial Management, Pre-Reg, Auth and PFCC Specialist responsible for providing various support within the medical billing department related to all medical payers to work on end-to-end RCM for collecting pending payment. This position involves collecting and managing accounts, following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims when appropriate, and following up on all denials to ensure reprocessing and payment in a timely manner.
**Responsibilities**
* **Monitoring the Quality of Transactions**: Regularly monitor the quality of transactions to ensure accuracy and efficiency.
* **Develop, Oversee and Report Quality Control Measures**: Develop, oversee, and report quality control measures to ensure compliance with industry standards and regulations.
* **Deliver Structured Curriculum**: Own the delivery of structured curriculum, provided in live and virtual learning environments to groups and individuals.
* **Coach One-on-One**: Coach one-on-one for ongoing performance improvements through refresher and remediation training.
* **Maintain Detailed Knowledge of Process and Role Specific Job Aids**: Maintain a detailed knowledge of process and role-specific job aids to support effective application of curriculum.
* **Assess New Hire Performance**: Assess new hire performance by monitoring, evaluating, and reporting training outcomes to local managers and central leadership team.
* **Liaise with Supervisors and Other Leaders**: Liaise with supervisors and other leaders to identify performance issues where additional one-on-one support is required.
* **Deliver and Support Ongoing Improvement of Training Content and Programs**: Deliver and support the ongoing improvement of training content and programs based on implementation of new or changes in existing patient care delivery, state/federal regulations, accreditations/licensing standards.
**Qualifications**
* **Graduate/Undergraduate Degree**: Graduate/undergraduate degree with a minimum of 3+ years experience in denial management/AR Collection, Pre-Reg, Auth for US Healthcare process. EPIC experience is preferred.
* **Knowledge of EPIC Software**: Knowledge of EPIC software.
* **Knowledge of Denial Management, Pre-Reg, Auth and PFCC**: Knowledge of Denial Management, Pre-Reg, Auth and PFCC.
* **Thorough Understanding of Common Healthcare Industry Terminology**: Thorough understanding of common healthcare industry terminology, practices, and procedures regarding billing and reimbursement.
* **General Knowledge of Government/Commercial Payers**: General knowledge of how Government/Commercial payers reimburse.
* **Excellent Oral and Written Communication Skills**: Excellent oral and written communication skills.
* **Ability to Use Windows Based Computer System**: Ability to use a Windows-based computer system and common business software found in Microsoft Suite (Excel, PowerPoint, Outlook etc.).
* **Ability to Work Independently**: Ability to work independently to effectively and efficiently perform assigned duties.
* **Ability to Maintain High Level of Ethics**: Ability to maintain a high level of ethics, and a courteous and professional demeanor.
* **Ability to Multi-Task**: Ability to multi-task, establish and meet deadlines.
* **Accurate Typing/Data Entry**: Accurate typing/data entry at a minimum of 40 wpm.
**Why Join arenaflex?**
* We value our employees and strive to create a work environment that is conducive to happiness and a healthy work-life balance.
* We believe that when employees are happy and healthy, they are more productive, creative, and engaged.
* We are committed to creating a culture of inclusion and diversity, where everyone feels welcome and valued.
* We are an Equal Opportunity Employer.
**How to Apply**
If you're passionate about delivering exceptional customer experiences and have a strong background in medical billing, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application and join our team at arenaflex.
Apply Now
**About arenaflex**
arenaflex is a company that values its employees and strives to create a work environment that is conducive to happiness and a healthy work-life balance. We believe that when employees are happy and healthy, they are more productive, creative, and engaged. Our mission is to always provide an environment where our employees feel valued, inspired, and supported, so that they can bring their best selves to work every day.
**Benefits of Working with arenaflex**
* Paid Training
* Competitive Wages
* Full Benefits (Medical, Dental, Vision, 401k and more)
* Paid Time Off
* Employee wellness and engagement program
**Job Summary**
We are looking for a competent Denial Management, Pre-Reg, Auth and PFCC Specialist responsible for providing various support within the medical billing department related to all medical payers to work on end-to-end RCM for collecting pending payment. This position involves collecting and managing accounts, following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims when appropriate, and following up on all denials to ensure reprocessing and payment in a timely manner.
**Responsibilities**
* **Monitoring the Quality of Transactions**: Regularly monitor the quality of transactions to ensure accuracy and efficiency.
* **Develop, Oversee and Report Quality Control Measures**: Develop, oversee, and report quality control measures to ensure compliance with industry standards and regulations.
* **Deliver Structured Curriculum**: Own the delivery of structured curriculum, provided in live and virtual learning environments to groups and individuals.
* **Coach One-on-One**: Coach one-on-one for ongoing performance improvements through refresher and remediation training.
* **Maintain Detailed Knowledge of Process and Role Specific Job Aids**: Maintain a detailed knowledge of process and role-specific job aids to support effective application of curriculum.
* **Assess New Hire Performance**: Assess new hire performance by monitoring, evaluating, and reporting training outcomes to local managers and central leadership team.
* **Liaise with Supervisors and Other Leaders**: Liaise with supervisors and other leaders to identify performance issues where additional one-on-one support is required.
* **Deliver and Support Ongoing Improvement of Training Content and Programs**: Deliver and support the ongoing improvement of training content and programs based on implementation of new or changes in existing patient care delivery, state/federal regulations, accreditations/licensing standards.
**Qualifications**
* **Graduate/Undergraduate Degree**: Graduate/undergraduate degree with a minimum of 3+ years experience in denial management/AR Collection, Pre-Reg, Auth for US Healthcare process. EPIC experience is preferred.
* **Knowledge of EPIC Software**: Knowledge of EPIC software.
* **Knowledge of Denial Management, Pre-Reg, Auth and PFCC**: Knowledge of Denial Management, Pre-Reg, Auth and PFCC.
* **Thorough Understanding of Common Healthcare Industry Terminology**: Thorough understanding of common healthcare industry terminology, practices, and procedures regarding billing and reimbursement.
* **General Knowledge of Government/Commercial Payers**: General knowledge of how Government/Commercial payers reimburse.
* **Excellent Oral and Written Communication Skills**: Excellent oral and written communication skills.
* **Ability to Use Windows Based Computer System**: Ability to use a Windows-based computer system and common business software found in Microsoft Suite (Excel, PowerPoint, Outlook etc.).
* **Ability to Work Independently**: Ability to work independently to effectively and efficiently perform assigned duties.
* **Ability to Maintain High Level of Ethics**: Ability to maintain a high level of ethics, and a courteous and professional demeanor.
* **Ability to Multi-Task**: Ability to multi-task, establish and meet deadlines.
* **Accurate Typing/Data Entry**: Accurate typing/data entry at a minimum of 40 wpm.
**Why Join arenaflex?**
* We value our employees and strive to create a work environment that is conducive to happiness and a healthy work-life balance.
* We believe that when employees are happy and healthy, they are more productive, creative, and engaged.
* We are committed to creating a culture of inclusion and diversity, where everyone feels welcome and valued.
* We are an Equal Opportunity Employer.
**How to Apply**
If you're passionate about delivering exceptional customer experiences and have a strong background in medical billing, we encourage you to apply for this exciting opportunity. Please visit our website to submit your application and join our team at arenaflex.
Apply Now