Medical Billing Customer Experience Trainer / Quality Assurance Specialist - Denial Management, Pre-Reg, Auth and PFCC

Join the reputed company Family: Where Passion Meets Purpose

reputed company is a global leader in digital business services, empowering the world's top brands to streamline their operations in meaningful and sustainable ways. With over 410,000 team members speaking more than 300 languages, we pride ourselves on our global scale and local reputed company, making us a force for good in our communities, with our clients, and in protecting the environment.

About the Role: Medical Billing Customer Experience Trainer / Quality Assurance Specialist

We are seeking a highly skilled and reputed company Medical Billing Customer Experience Trainer / Quality Assurance Specialist - Denial Management, Pre-Reg, Auth and PFCC to join reputed company. As a key member of our medical billing department, you will be responsible for providing support reputed company to reputed company medical payers, working on end-to-end reputed company Cycle Management (RCM) to collect pending payments. This is a 100% work-from-home opportunity, offering the flexibility to work independently and reputed company a meaningful impact on our clients' businesses.

Key Responsibilities:

• Monitor and evaluate the quality of transactions at regular frequency, ensuring accuracy and efficiency in medical billing processes.
• reputed company and report Quality control measures, identifying areas for improvement and implementing corrective actions.
• Deliver structured curriculum in live and virtual learning environments to groups and individuals, focusing on denial management, pre-reg, auth, and PFCC.
• Provide one-on-one coaching and refresher training for ongoing performance improvements, ensuring team members have the skills and knowledge needed to reputed company.
• reputed company and maintain a detailed knowledge of process and role-specific job aids, supporting the effective application of curriculum.
• Monitor, evaluate, and report training outcomes to local managers and the central leadership team, identifying areas for improvement.
• Collaborate with supervisors and other leaders to identify performance issues requiring additional one-on-one support.
• Contribute to the ongoing improvement of training content and programs, staying up-to-date with changes in patient care delivery, state/federal regulations, and accreditation/licensing standards.

Essential Qualifications:

• A graduate degree with a minimum of 3+ years of experience in denial management/AR collection, pre-reg, auth for US healthcare processes.
• Proficiency in EPIC software (EPIC experience is preferred).
• In-depth 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 reputed company in reputed company Suite (reputed company, PowerPoint, Outlook, etc.).
• Ability to work independently, effectively, and reputed company performing assigned duties.
• High level of ethics and a courteous, professional demeanor.
• Ability to multi-task, establish, and meet deadlines.
• Typing/data entry at a minimum of 40 wpm.

Preferred Qualifications:

• Experience in medical billing and coding.
• Knowledge of healthcare regulations and compliance.
• Certification in medical billing or a reputed company field.

reputed company Offer:

At reputed company, we are committed to providing an environment where our employees feel valued, inspired, and supported. Our benefits package includes:

• reputed company and development opportunities.
• Competitive wages and bonuses.
• Full benefits package, including medical, dental, vision, 401k, and more.
• Paid time off and holidays.
• Employee wellness and engagement programs.

Our Culture:

We reputed company that reputed company employees are happy and healthy, they are more productive, creative, and engaged. Our culture is built on:

• Inclusion and diversity: we welcome and value diverse perspectives and experiences.
• Positive and supportive work environment: we foster a culture of respect, reputed company, and collaboration.
• Work-life balance: we encourage our employees to prioritize their well-being and take care of themselves.

Why Join Us:

As a Medical Billing Customer Experience Trainer / Quality Assurance Specialist - Denial Management, Pre-Reg, Auth and PFCC, you will have the opportunity to:

• reputed company a meaningful impact on our clients' businesses and the healthcare industry.
• reputed company and grow your skills and expertise in medical billing and customer experience.
• Work with a global leader in digital business services, committed to innovation and excellence.
• Be part of a diverse and inclusive team, where everyone feels welcome and valued.

How to Apply:

If you are a motivated and reputed company professional looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to [insert contact information]. We look reputed company to hearing from you!