Join blithequark, a Global Leader in Digital Business Services
blithequark is a global, digital business services company that empowers the world's top brands to streamline their operations in meaningful and sustainable ways. With a workforce of over 410,000 passionate individuals speaking more than 300 languages, blithequark's global scale and local presence enable it to make a positive impact on its communities, clients, and the environment.
Purpose of the Role
blithequark is seeking a highly competent Denial Management, Pre-Reg, Auth, and Patient Financial Contact Center (PFCC) Specialist to lead its Medical Billing Customer Experience Team. As a key member of the team, you will be responsible for providing expert support within the medical billing department related to all medical payers, ensuring end-to-end Revenue Cycle Management (RCM) for collecting pending payments.
Key Responsibilities
- Provide exceptional care to the frontlines by supporting the execution and achievement of functional areas and company goals.
- Collaborate with internal departments to resolve issues related to all tasks and assignments, ensuring seamless business operations.
- Serve as the primary point of contact for internal and external customer inquiries, addressing insurance companies and patient concerns with professionalism and expertise.
- Utilize software and company systems to source, obtain, process, audit, and analyze standard data, presenting findings and insights to stakeholders.
- Organize, prioritize, and execute tasks and activities with urgency, adhering to managerial assignments and deadlines.
- Respond to and resolve issues related to Auth/Pre-Reg, AR Denials, patient and billing inquiries, seeking leadership guidance for non-routine or escalated concerns.
- Deliver outstanding customer service to patients and insurance representatives, ensuring a positive experience and building trust.
Essential Qualifications
To excel in this role, you should possess:
- A degree with a minimum of 4 years of experience in denial management/AR Collection, Pre-Reg, Auth for US Healthcare processes. EPIC experience is highly preferred.
- Proficiency in EPIC software and other relevant systems.
- In-depth knowledge of Denial Management, Pre-Reg, Auth, and PFCC processes.
- A strong understanding of common healthcare industry terminology, practices, and procedures regarding billing and reimbursement.
- Familiarity with Government/Commercial payers' reimbursement processes.
- Excellent oral and written communication skills, with the ability to negotiate effectively.
- Proficiency in using Windows-based computer systems and common business software found in Microsoft Suite (Excel, PowerPoint, Outlook, etc.).
- The ability to work independently, effectively, and efficiently, with a high level of ethics and a courteous, professional demeanor.
- Strong multitasking skills, with the ability to establish and meet deadlines.
- A typing/data entry speed of at least 40 wpm.
Preferred Qualifications
While not mandatory, the following qualifications can enhance your candidacy:
- Additional experience in related healthcare operations or customer experience roles.
- Certifications or training in healthcare billing, coding, or revenue cycle management.
- Familiarity with other healthcare software and systems beyond EPIC.
What We Offer
At blithequark, we are committed to providing a work environment that is conducive to happiness, productivity, and a healthy work-life balance. Our benefits include:
- Paid training to enhance your skills and knowledge.
- Competitive wages that reflect your value to our organization.
- A comprehensive benefits package, including medical, dental, vision, 401k, and more.
- Paid time off to recharge and relax.
- Employee wellness and engagement programs to support your overall well-being.
Career Growth and Development
blithequark is dedicated to fostering a culture of inclusion, diversity, and continuous learning. As a member of our team, you will have opportunities to:
- Develop your skills and expertise through training and professional development programs.
- Advance your career within the organization, with opportunities for growth and promotion.
- Collaborate with a diverse and global team, sharing knowledge and best practices.
Work Environment
This is a 100% work-from-home position, offering the flexibility and autonomy to manage your work schedule and environment. As a remote team member, you will be expected to maintain a high level of professionalism, discipline, and communication.
Why Join blithequark?
blithequark is an Equal Opportunity Employer that values diversity, inclusion, and employee well-being. By joining our team, you will become part of a global community that is passionate about delivering exceptional customer experiences and making a positive impact on the world.
If you are a motivated and experienced professional looking for a challenging and rewarding role, we encourage you to apply to blithequark today. Take the first step towards a fulfilling career with a company that cares about its employees and the communities it serves.
Don't miss this opportunity to be part of a dynamic and growth-oriented organization. Apply now and discover a world of possibilities at blithequark!
Apply Now