Experienced Medical Billing Customer Experience Trainer / Quality Assurance Specialist – Remote Denial Management and Pre-Registration Expert

At arenaflex, we're on a mission to revolutionize the way healthcare services are delivered, and we're looking for a highly skilled and dedicated Medical Billing Customer Experience Trainer / Quality Assurance Specialist to join our team. As a key member of our remote team, you'll play a vital role in ensuring the highest quality of transactions, delivering exceptional customer experiences, and driving business growth.

About arenaflex

arenaflex is a global leader in digital business services, helping the world's best brands streamline their business in meaningful and sustainable ways. With over 410,000 passionate and inspired people speaking more than 300 languages, our global scale and local presence enable us to make a positive impact on our communities, clients, and the environment. We're committed to creating a workplace that's conducive to happiness and a healthy work-life balance, where everyone feels valued, inspired, and supported.

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

Purpose

We're seeking a highly skilled Denial Management, Pre-Reg, Auth, and PFCC Specialist to provide support within the medical billing department related to all medical payers. This role 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. The ideal candidate should exhibit professionalism, trustworthiness, excellent communication and negotiation skills, and the ability to work independently.

Responsibilities

* Ensure the quality of transactions at regular frequency

• Oversee and report Quality control measures
• Deliver structured curriculum in live and virtual learning environments to groups and individuals
• Provide one-on-one training for ongoing performance improvements through refresher and remediation training
• Develop a detailed knowledge of process and role-specific job aids to support effective application of curriculum
• Monitor, evaluate, and report 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
• 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 with a minimum of 3+ years of experience in denial management/AR Collection, Pre-Reg, Auth for US Healthcare process. EPIC experience is preferred.

• Proficiency in EPIC software
• Knowledge of 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

Be Part of Our arenaflex Family

At arenaflex, we're committed to creating a culture of inclusion and diversity, where everyone feels welcome and valued. We believe that when employees are happy and healthy, they're more productive, creative, and engaged. We're dedicated to providing a workplace that's conducive to happiness and a healthy work-life balance.

Equal Opportunity Employer

arenaflex is an Equal Opportunity Employer. We're committed to providing an environment where our employees feel valued, inspired, and supported, so that they can bring their best selves to work every day.

Don't Hesitate, Apply!

Don't worry if you don't meet every single requirement. We value a great attitude and a willingness to learn above all. Submit your application today and join our team of passionate and inspired individuals who are making a difference in the world of healthcare services. Apply To This Job Apply for this job