Experienced Medical Billing Customer Experience Trainer and Quality Assurance Specialist for End-to-End Revenue Cycle Management and Denial Management

Introduction to arenaflex

arenaflex is a global, digital business services company that delivers the most advanced, digitally powered business services to help the world's best brands streamline their business in meaningful and sustainable ways. With a global scale and local presence, we are a force of good in supporting our communities, our clients, and the environment. Our team of over 410,000 inspired and passionate people, speaking more than 300 languages, is dedicated to making a positive impact. At arenaflex, we believe in providing an environment where our employees feel valued, inspired, and supported, so that they can bring their best selves to work every day.

Job Overview

We are seeking a highly skilled Medical Billing Customer Experience Trainer and Quality Assurance Specialist to join our team. As a Denial Management, Pre-Reg, Auth, and PFCC Specialist, you will be 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 payments. 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.

Key Responsibilities

• Monitor the quality of transactions at regular frequency and oversee and report Quality control measures.
• Deliver structured curriculum, provided in live and virtual learning environments to groups and individuals, and provide one-on-one training for ongoing performance improvements through refresher and remediation training.
• Support new hires' performance by monitoring, evaluating, and reporting training outcomes to local managers and central leadership team.
• Collaborate with supervisors and other leaders to identify performance issues where additional one-on-one support is required.
• Contribute to 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.
• Collect and manage accounts, follow up with insurance companies, reconcile accounts, file corrected claims, appeal claims when appropriate, and follow up on all denials to ensure reprocessing and payment in a timely manner.

Essential Qualifications

• Graduate with minimum 3+ years of experience in denial management/AR Collection, Pre-Reg, Auth for US Healthcare process. EPIC experience is preferred.
• Knowledge of EPIC software and Denial Management, Pre-Reg, Auth, and PFCC.
• Understanding of common healthcare industry terminology, practices, and procedures regarding billing and reimbursement.
• Knowledge of how Government/Commercial payers reimburse.
• Excellent oral and written communication skills.
• Ability to use a Windows-based computer system and common business software found in Microsoft Suite (Excel, PowerPoint, Outlook, etc.).
• Ability to work independently to effectively and efficiently perform assigned duties.
• Ability to maintain a high level of ethics, and a courteous and professional demeanor.
• Ability to multi-task, establish, and meet deadlines.
• Typing/data entry at a minimum of 40 wpm.

Preferred Qualifications

• Experience in medical billing, customer service, or a related field.
• Knowledge of healthcare regulations and compliance.
• Experience with quality assurance and process improvement.
• Strong analytical and problem-solving skills.
• Ability to work in a fast-paced environment and adapt to changing priorities.

Career Growth Opportunities and Learning Benefits

At arenaflex, we are committed to providing our employees with opportunities for growth and development. As a Medical Billing Customer Experience Trainer and Quality Assurance Specialist, you will have the opportunity to develop your skills and knowledge in medical billing, customer service, and quality assurance. You will also have the opportunity to work with a team of experienced professionals who are passionate about delivering exceptional customer experiences.

Work Environment and Company Culture

arenaflex is committed to providing a workplace 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 company culture is built on the values of inclusion, diversity, and respect, and we are committed to creating a culture where everyone feels welcome and valued.

Compensation, Perks, and Benefits

arenaflex offers a competitive compensation package, including paid training, competitive wages, full benefits (medical, dental, vision, 401k, and more), paid time off, and an employee wellness and engagement program. We also offer opportunities for career advancement and professional growth.

Conclusion

If you are a motivated and experienced medical billing professional looking for a new challenge, we encourage you to apply for this exciting opportunity. As a Medical Billing Customer Experience Trainer and Quality Assurance Specialist at arenaflex, you will have the opportunity to make a positive impact on the lives of our customers and contribute to the success of our team. Don't miss out on this opportunity to join a dynamic and growing company that values its employees and is committed to delivering exceptional customer experiences. Apply today and take the first step towards a rewarding and challenging career with arenaflex!

Join our team and become a part of a global, digital business services company that is dedicated to making a positive impact. Apply now and start your journey with arenaflex!

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