Welcome 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 more than 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 are committed to providing a workplace that is conducive to happiness and a healthy work-life balance, where everyone feels welcome and valued.
About the Role
We are seeking a highly skilled and experienced 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 Revenue Cycle Management (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
- Monitoring the quality of transactions at regular frequency to ensure accuracy and efficiency.
- Developing, overseeing, and reporting Quality control measures to identify areas for improvement.
- Delivering structured curriculum, provided in live and virtual learning environments to groups and individuals, to enhance knowledge and skills.
- Coaching one-on-one for ongoing performance improvements through refresher and remediation training to ensure continuous learning and development.
- Maintaining a detailed knowledge of process and role-specific job aids to support effective application of curriculum and ensure compliance with regulations and standards.
- Assessing new hires' performance by monitoring, evaluating, and reporting training outcomes to local managers and central leadership team to ensure successful onboarding and integration.
- Liaising with supervisors and other leaders to identify performance issues where additional one-on-one support is required to ensure timely intervention and resolution.
- Delivering and supporting 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 to ensure relevance and effectiveness.
Essential Qualifications
- Graduate or undergraduate with a minimum of 3+ years of experience in denial management/AR Collection, Pre-Reg, Auth for US Healthcare process.
- Knowledge of EPIC software and Denial Management, Pre-Reg, Auth, and PFCC processes.
- Thorough understanding of common healthcare industry terminology, practices, and procedures regarding billing and reimbursement.
- General knowledge of how Government/Commercial payers reimburse and the ability to navigate complex reimbursement systems.
- Excellent oral and written communication skills, with the ability to effectively communicate with internal and external stakeholders.
- 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, with a high level of accuracy and attention to detail.
- Ability to maintain a high level of ethics, and a courteous and professional demeanor, with a strong commitment to customer satisfaction and experience.
Preferred Qualifications
- EPIC experience is preferred, with a strong understanding of the system and its applications in medical billing and revenue cycle management.
- Knowledge of state/federal regulations, accreditations/licensing standards, and industry best practices in medical billing and revenue cycle management.
- Experience in training and development, with a strong ability to design and deliver effective training programs and materials.
- Strong analytical and problem-solving skills, with the ability to analyze complex data and identify areas for improvement.
- Ability to multi-task, establish and meet deadlines, and work in a fast-paced environment with multiple priorities and competing demands.
Career Growth Opportunities and Learning Benefits
At arenaflex, we are committed to providing our employees with opportunities for growth and development, both personally and professionally. As a Medical Billing Customer Experience Trainer and Quality Assurance Specialist, you will have access to a range of training and development programs, including:
- Comprehensive training programs to enhance your knowledge and skills in medical billing and revenue cycle management.
- Opportunities for career advancement and professional growth, with a clear path for progression and development.
- A supportive and collaborative work environment, with a strong focus on teamwork and communication.
- Access to industry-leading technology and systems, with ongoing training and support to ensure proficiency and effectiveness.
Work Environment and Company Culture
At arenaflex, we are committed to creating a workplace that is conducive to happiness and a healthy work-life balance. Our company culture is built on a foundation of respect, empathy, and inclusivity, with a strong focus on diversity and equality. As a Medical Billing Customer Experience Trainer and Quality Assurance Specialist, you will be part of a dynamic and supportive team, with opportunities to make a real difference in the lives of our customers and patients.
Compensation, Perks, and Benefits
At arenaflex, we offer a competitive compensation package, with a range of perks and benefits to support your well-being and success. These include:
- Paid training and development programs to enhance your knowledge and skills.
- Competitive wages and salary packages, with opportunities for bonuses and incentives.
- Full benefits, including medical, dental, vision, 401k, and more.
- Paid time off and vacation days, with a generous leave policy and flexible work arrangements.
- Employee wellness and engagement programs, with a strong focus on mental health and well-being.
Conclusion
If you are a motivated and experienced medical billing professional, with a passion for training and development, we encourage you to apply for this exciting opportunity. As a Medical Billing Customer Experience Trainer and Quality Assurance Specialist at arenaflex, you will be part of a dynamic and supportive team, with opportunities to make a real difference in the lives of our customers and patients. With a competitive compensation package, comprehensive training programs, and a supportive work environment, this is an opportunity not to be missed. Apply now to join our team and take the first step towards a rewarding and challenging career in medical billing and revenue cycle management.
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