Experienced Medical Billing Customer Experience Trainer and Quality Assurance Specialist - Denial Management and Revenue Cycle Management at blithequark

Join blithequark: Empowering Global Brands through Exceptional Customer Experience

blithequark is a pioneering global digital business services company that leverages cutting-edge technology to deliver bespoke solutions for the world's most renowned brands. With a presence in numerous countries and a workforce of over 410,000 passionate individuals speaking more than 300 languages, blithequark is a force for good, driving positive change in its communities, client relationships, and environmental footprint.

At blithequark, we're committed to fostering a work environment that is as rewarding as it is challenging. Our comprehensive benefits package includes paid training, competitive wages, full benefits (medical, dental, vision, 401k, and more), paid time off, and an employee wellness and engagement program designed to support your overall well-being.

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

We're seeking a highly skilled and experienced Medical Billing Customer Experience Trainer and Quality Assurance Specialist to join our team at blithequark. As a Denial Management, Pre-Reg, Auth, and PFCC Specialist, you will play a pivotal role in ensuring the smooth operation of our medical billing department, focusing on end-to-end Revenue Cycle Management (RCM) to secure pending payments.

This role involves managing accounts, liaising with insurance companies, reconciling accounts, filing corrected claims, appealing denials, and ensuring timely reprocessing and payment. The ideal candidate will exhibit professionalism, trustworthiness, and excellent communication and negotiation skills, with the ability to work independently in a 100% work-from-home environment.

Key Responsibilities:

• Monitor the quality of transactions at regular intervals to ensure high standards are maintained.
• Develop, oversee, and report on quality control measures to continuously improve processes.
• Deliver structured curriculum in live and virtual learning environments to both groups and individuals, ensuring effective knowledge transfer.
• Provide one-on-one coaching for ongoing performance improvements through targeted refresher and remediation training.
• Maintain up-to-date knowledge of process and role-specific job aids to support the effective application of curriculum.
• Assess new hires' performance by monitoring, evaluating, and reporting training outcomes to local managers and the central leadership team.
• Liaise with supervisors and other leaders to identify areas where additional one-on-one support is required to address performance issues.
• Continuously improve training content and programs in response to changes in patient care delivery, state/federal regulations, and accreditation/licensing standards.

Essential Qualifications and Skills:

• A graduate or undergraduate degree with a minimum of 3+ years of experience in denial management/AR collection, pre-reg, auth for US healthcare processes. Experience with EPIC software is preferred.
• In-depth knowledge of EPIC software and its applications in healthcare.
• Thorough understanding of denial management, pre-reg, auth, and PFCC processes.
• Familiarity with common healthcare industry terminology, practices, and procedures related to billing and reimbursement.
• General knowledge of how government and commercial payers reimburse healthcare services.
• Excellent oral and written communication skills, with the ability to negotiate effectively.
• Proficiency in using Windows-based computer systems and Microsoft Suite applications (Excel, PowerPoint, Outlook, etc.).
• Ability to work independently with minimal supervision, maintaining high levels of ethics and a professional demeanor.
• Strong multitasking capabilities, with the ability to establish and meet deadlines.
• Accurate typing/data entry skills at a minimum of 40 wpm.

Career Growth and Learning Opportunities at blithequark

At blithequark, we're dedicated to the continuous growth and development of our employees. As a Medical Billing Customer Experience Trainer and Quality Assurance Specialist, you'll have access to a wealth of training resources and opportunities to enhance your skills in denial management, revenue cycle management, and customer experience training. Our commitment to employee development ensures that you'll be well-equipped to advance in your career, whether within your current role or in new and challenging positions.

Work Environment and Culture at blithequark

blithequark prides itself on creating a workplace that is conducive to happiness and a healthy work-life balance. Our culture is built on the principles of inclusion, diversity, and mutual respect, ensuring that every employee feels valued and supported. As a 100% work-from-home role, you'll enjoy the flexibility and comfort of working from your own home while being part of a global team that is passionate about delivering exceptional customer experiences.

Compensation, Perks, and Benefits

We offer a competitive compensation package that reflects your skills, experience, and qualifications. In addition to your salary, you'll enjoy a range of benefits, including paid training, full benefits (medical, dental, vision, 401k, and more), paid time off, and an employee wellness and engagement program designed to support your overall well-being.

Join the blithequark Family

If you're a motivated and experienced professional looking for a challenging and rewarding role in medical billing customer experience training and quality assurance, we encourage you to apply to blithequark. Our mission is to provide an environment where our employees feel valued, inspired, and supported, enabling them to bring their best selves to work every day. With blithequark, you'll be part of a global team that is shaping the future of customer experience and digital business services.

Don't miss this opportunity to advance your career with a pioneering company that is committed to excellence, innovation, and employee satisfaction. Apply now to become a part of the blithequark family.