Experienced Medical Billing Customer Experience Trainer / Quality Assurance Specialist – Remote Work Opportunity

At arenaflex, we're dedicated to delivering exceptional customer experiences and driving business success through innovative solutions. As a leading global digital business services company, we're passionate about empowering our employees to thrive in a dynamic and supportive environment. If you're a motivated and results-driven professional with a passion for medical billing and customer experience, we invite you to join our team as an Experienced Medical Billing Customer Experience Trainer / Quality Assurance Specialist.

About arenaflex

arenaflex is a global digital business services company that helps 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 make a positive impact in our communities, support our clients, and protect the environment. Our commitment to innovation, quality, and customer satisfaction drives everything we do.

Benefits of Working with arenaflex

As an arenaflex employee, you can expect:

• Paid Training to help you develop your skills and expertise
• Competitive Wages and a reliable income
• Comprehensive Benefits, including Medical, Dental, Vision, 401k, and more
• Paid Time Off to recharge and maintain a healthy work-life balance
• Employee wellness and engagement programs to support your physical and mental well-being
• Opportunities for career growth and professional development

Job Purpose

We're seeking a highly skilled and experienced Denial Management, Pre-Reg, Auth, and PFCC Specialist to join our medical billing team. As a Medical Billing Customer Experience Trainer / Quality Assurance Specialist, you'll play a critical role in ensuring the quality of transactions, developing and implementing quality control measures, and delivering structured curriculum to groups and individuals. Your expertise will help us collect and manage accounts, follow up with insurance companies, reconcile accounts, file corrected claims, appeal claims when necessary, and follow up on all denials to ensure timely reprocessing and payment.

Responsibilities

As a 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'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
• 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

Be Part of Our arenaflex Family

At arenaflex, we're committed to creating a culture of inclusion and diversity, where everyone feels welcome and valued. We believe that when employees are happy and healthy, they're more productive, creative, and engaged. We're dedicated to providing a workplace that's conducive to happiness and a healthy work-life balance. Join our team and become part of a community that's passionate about making a positive impact.

Equal Opportunity Employer

arenaflex is an Equal Opportunity Employer. We're committed to diversity, equity, and inclusion, and we welcome applications from qualified candidates from all backgrounds.

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