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

At blithequark, we're a global, digital business services company that's passionate about delivering the most advanced, digitally powered business services to help 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 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. We believe that when employees are happy and healthy, they're more productive, creative, and engaged. That's why we're dedicated to providing a culture of inclusion and diversity, where everyone feels welcome and valued.

About the Role

We're seeking a highly skilled Medical Billing Customer Experience Trainer / Quality Assurance Specialist to join our team at blithequark. 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

As a Medical Billing Customer Experience Trainer / Quality Assurance Specialist, you'll be responsible for:

• Monitoring the quality of transactions at regular frequency to ensure accuracy and efficiency
• Developing, overseeing, and reporting Quality control measures to ensure compliance with industry standards
• Delivering structured curriculum in live and virtual learning environments to groups and individuals, focusing on medical billing and denial management
• 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'll 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, with EPIC experience being a plus
• 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

What We Offer

As a Medical Billing Customer Experience Trainer / Quality Assurance Specialist at blithequark, you'll enjoy:

• Paid Training to help you develop your skills and expertise
• Competitive Wages to recognize your hard work and dedication
• Full Benefits, including Medical, Dental, Vision, 401k, and more, to ensure your well-being and financial security
• Paid Time Off to relax and recharge
• Employee wellness and engagement program to support your physical and mental health
• A 100% work-from-home environment, allowing you to work in the comfort of your own space

Why Join blithequark?

At blithequark, we're committed to creating a workplace that's conducive to happiness and a healthy work-life balance. We believe that when employees are happy and healthy, they're more productive, creative, and engaged. We're dedicated to providing a culture of inclusion and diversity, where everyone feels welcome and valued. If you're passionate about delivering exceptional customer experiences and are committed to excellence in medical billing and denial management, we encourage you to apply for this exciting opportunity. Join our team at blithequark and be part of a global, digital business services company that's making a difference in the world.

How to Apply

If you're ready to take your career to the next level, click the link below to apply for this exciting opportunity: Apply Job! Apply for this job