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

At blithequark, we are a global, digital business services company that delivers the most advanced, digitally powered business services to help the world's best brands streamline their business in meaningful and sustainable ways. With more than 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 are committed to creating a workplace that is conducive to happiness and a healthy work-life balance. Our mission is to always provide an environment where our employees feel valued, inspired, and supported, so that they can bring their best selves to work every day. We believe that when employees are happy and healthy, they are more productive, creative, and engaged.

About the Role

We are seeking an experienced Medical Billing Customer Experience Trainer / Quality Assurance Specialist to join our team at blithequark. As a key member of our medical billing department, you will 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 position 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, your key responsibilities will include:

• Monitoring the quality of transactions at regular frequency to ensure accuracy and compliance with industry standards.
• Developing, overseeing, and reporting Quality control measures to ensure continuous improvement.
• Delivering structured curriculum in live and virtual learning environments to groups and individuals, including one-on-one coaching 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. EPIC experience is preferred.
• Knowledge of EPIC software and 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.

Benefits of Working with blithequark

As a valued member of our team, you can expect:

• Paid Training to help you develop your skills and knowledge.
• Competitive Wages that reflect your value to our organization.
• Full Benefits, including Medical, Dental, Vision, 401k, and more.
• Paid Time Off to relax and recharge.
• Employee wellness and engagement program to support your physical and mental well-being.
• A dynamic and inclusive work environment that values diversity and promotes a culture of inclusion.

Why Join blithequark?

At blithequark, we are committed to creating a workplace that is conducive to happiness and a healthy work-life balance. We believe that when employees are happy and healthy, they are more productive, creative, and engaged. We are an Equal Opportunity Employer and are committed to creating a culture of inclusion and diversity, where everyone feels welcome and valued. If you are a motivated and experienced professional who is passionate about delivering exceptional customer experiences, we encourage you to apply for this exciting opportunity. Join our team at blithequark and be part of a global community that is dedicated to making a positive impact.

How to Apply

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