Job Description
Are you passionate about delivering exceptional customer experiences and driving quality assurance in the medical billing industry? Do you have a strong background in denial management, pre-reg, auth, and PFCC? If so, we invite you to join arenaflex as an Experienced Medical Billing Customer Experience Trainer / Quality Assurance Specialist in a fully remote role. **About arenaflex** arenaflex is a global leader in digital business services, dedicated to helping the world's best brands streamline their business 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 be a force of good in supporting our communities, our clients, and the environment. **Benefits of Working with arenaflex** As a valued member of our team, you can expect: * Paid Training to ensure your success in the role * Competitive Wages to reflect your skills and experience * Full Benefits, including Medical, Dental, Vision, 401k, and more * Paid Time Off to recharge and relax * Employee wellness and engagement programs to support your overall well-being * Opportunities for career growth and professional development **Job Purpose** We are seeking a highly competent 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 will exhibit professionalism, trustworthiness, and excellent communication and negotiation skills, with the ability to work independently. **Responsibilities** As an Experienced Medical Billing Customer Experience Trainer / Quality Assurance Specialist, your key responsibilities will include: * Monitoring the quality of transactions at regular frequency * Developing, overseeing, and reporting Quality control measures * Delivering structured curriculum in live and virtual learning environments to groups and individuals * Coaching one-on-one for ongoing performance improvements through refresher and remediation training * Maintaining a detailed knowledge of process and role-specific job aids to support effective application of curriculum * Assessing new hires' performance by monitoring, evaluating, and reporting training outcomes to local managers and central leadership team * Liaising with supervisors and other leaders to identify performance issues where additional one-on-one support is required * 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 **Qualifications** To be successful in this role, you will need: * A graduate or undergraduate degree with a minimum of 3+ years of experience in denial management/AR Collection, Pre-Reg, Auth for US Healthcare process * Knowledge of EPIC software * Knowledge of Denial Management, Pre-Reg, Auth, and PFCC * A 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 arenaflex?** At arenaflex, we believe that when employees are happy and healthy, they are more productive, creative, and engaged. We are committed to providing a workplace that is 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 are committed to creating a culture of inclusion and diversity, where everyone feels welcome and valued. **Equal Opportunity Employer** arenaflex is an Equal Opportunity Employer, and we welcome applications from diverse candidates. **Submit Your Application** Seize this opportunity to make a significant impact. Apply now and take the first step towards a rewarding new role. Apply for this job