**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 dedicated to helping the world's best brands streamline their business in meaningful and sustainable ways. With a team of 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.
We're committed to creating a workplace that's conducive to happiness and a healthy work-life balance, where everyone feels welcome and valued. 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 to help you grow in your career
* Competitive Wages to recognize your hard work
* Full Benefits (Medical, Dental, Vision, 401k and more) to ensure your well-being
* Paid Time Off to recharge and relax
* Employee wellness and engagement program to support your mental and physical health
**Job Purpose**
We're looking for a highly skilled Medical Billing Customer Experience Trainer / Quality Assurance Specialist to join our team. As a key member of our medical billing department, 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 payment. 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.
**Responsibilities**
* Ensure the quality of transactions at regular frequency
* Oversee and report Quality control measures
* Deliver structured curriculum, provided 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 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
**Why Join arenaflex?**
* We're a global company with a local presence, offering opportunities for growth and development
* We're committed to creating a culture of inclusion and diversity, where everyone feels welcome and valued
* We offer a range of benefits and perks to support your well-being and happiness
* We're a company that's dedicated to making a positive impact on the world
**How to Apply**
If you're a motivated and experienced professional looking for a new challenge, we'd love to hear from you. Please submit your application, including your resume and a cover letter, to [arenaflex careers page]. We can't wait to hear from you!
We're committed to creating a workplace that's conducive to happiness and a healthy work-life balance, where everyone feels welcome and valued. 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 to help you grow in your career
* Competitive Wages to recognize your hard work
* Full Benefits (Medical, Dental, Vision, 401k and more) to ensure your well-being
* Paid Time Off to recharge and relax
* Employee wellness and engagement program to support your mental and physical health
**Job Purpose**
We're looking for a highly skilled Medical Billing Customer Experience Trainer / Quality Assurance Specialist to join our team. As a key member of our medical billing department, 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 payment. 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.
**Responsibilities**
* Ensure the quality of transactions at regular frequency
* Oversee and report Quality control measures
* Deliver structured curriculum, provided 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 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
**Why Join arenaflex?**
* We're a global company with a local presence, offering opportunities for growth and development
* We're committed to creating a culture of inclusion and diversity, where everyone feels welcome and valued
* We offer a range of benefits and perks to support your well-being and happiness
* We're a company that's dedicated to making a positive impact on the world
**How to Apply**
If you're a motivated and experienced professional looking for a new challenge, we'd love to hear from you. Please submit your application, including your resume and a cover letter, to [arenaflex careers page]. We can't wait to hear from you!