Experienced Medical Billing Customer Experience Trainer / Quality Assurance Specialist – End-to-End Revenue Cycle Management

At blithequark, we're on a mission to revolutionize the way businesses interact with their customers, and we're looking for talented individuals to join our team. As a global, digital business services company, we deliver cutting-edge, digitally powered business services to help the world's best brands streamline their operations in meaningful and sustainable ways. With over 410,000 inspired and passionate people speaking more than 300 languages, our global scale and local presence enable us to make a positive impact in our communities, with our clients, and on the environment. We're proud to be a force for good, and we're committed to creating a workplace that's conducive to happiness, a healthy work-life balance, and a culture of inclusion and diversity.

Benefits of Working with blithequark

* Paid Training to help you develop your skills and advance your career

• Competitive Wages to reflect your value to our organization
• Full Benefits, including Medical, Dental, Vision, 401k, and more, to support your well-being
• Paid Time Off to recharge and spend time with loved ones
• Employee wellness and engagement program to promote a healthy and happy work environment

Job Purpose

We're seeking a highly skilled Denial Management, Pre-Reg, Auth, and PFCC Specialist to join our medical billing team. As a key member of our team, you'll be responsible for providing various support related to all medical payers to work on end-to-end Revenue Cycle Management (RCM) for collecting pending payments. This role involves collecting and managing accounts, following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims when necessary, and following up on all denials to ensure reprocessing and payment in a timely manner.

Responsibilities

* Monitor the quality of transactions at regular frequency to ensure accuracy and compliance

• Develop, oversee, and report Quality control measures to ensure high standards are met
• Own the delivery of structured curriculum, provided in live and virtual learning environments, to groups and individuals
• Coach one-on-one for ongoing performance improvements through refresher and remediation training
• Maintain a detailed knowledge of process and role-specific job aids to support effective application of curriculum
• Assess new hires' performance by monitoring, evaluating, and reporting training outcomes to local managers and central leadership team
• Liaise with supervisors and other leaders to identify performance issues where additional one-on-one support is required
• 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 or undergraduate degree with a minimum of 3+ years of experience in denial management/AR Collection, Pre-Reg, Auth for US Healthcare process

• EPIC experience is preferred
• Knowledge of EPIC software
• Knowledge of Denial Management, Pre-Reg, Auth, and PFCC
• Thorough understanding of common healthcare industry terminology, practices, and procedures regarding billing and reimbursement
• General 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
• Accurate typing/data entry at a minimum of 40 wpm

Why Join blithequark?

At blithequark, we believe that when employees are happy and healthy, they are more productive, creative, and engaged. We're committed to providing a workplace that's conducive to happiness and a healthy work-life balance. We also believe that to be our best selves, we need to be surrounded by people who are positive, supportive, and challenging. We're committed to creating a culture of inclusion and diversity, where everyone feels welcome and valued.

Work Environment

This position is 100% work-at-home, allowing you to work in a comfortable and familiar environment. As a remote employee, you'll have the flexibility to manage your time and work at your own pace, while still being part of a dynamic and supportive team.

Compensation and Benefits

We offer a competitive salary and a comprehensive benefits package, including medical, dental, vision, 401k, and more. We're committed to supporting your well-being and providing a safe and healthy work environment.

How to Apply

If you're a motivated and experienced professional looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your resume and a cover letter outlining your qualifications and experience. We can't wait to hear from you! Apply Now! For more job opportunities, please visit our website or follow us on social media. We look forward to connecting with you! Apply for this job