Experienced Medical Billing Customer Experience Trainer / Quality Assurance Specialist - Denial Management, Pre-Reg, Auth, and PFCC Expert

About Teleperformance

Teleperformance is 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.

Benefits of Working with Teleperformance

• Paid Training to help you develop your skills and advance your career
• Competitive Wages that reflect your value to our organization
• Full Benefits package, 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

Purpose

We are 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 will be responsible for providing various support within the medical billing department related to all medical payers to work on end-to-end 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.

The ideal candidate will exhibit professionalism and trustworthiness, with excellent communication and negotiation skills, as well as the ability to work independently. This position is 100% work-at-home, offering the flexibility and autonomy you need to succeed.

Your Responsibilities

• Ensure the quality of transactions at regular frequency, maintaining high standards of accuracy and efficiency
• Oversee and report Quality control measures, identifying areas for improvement and implementing corrective actions
• Deliver structured curriculum, provided in live and virtual learning environments, to groups and individuals, with a focus on ongoing performance improvements through refresher and remediation training
• Develop and maintain a detailed knowledge of process and role-specific job aids, to support effective application of curriculum
• Monitor, evaluate, and report training outcomes to local managers and central leadership team, identifying areas for improvement and implementing corrective actions
• Collaborate with supervisors and other leaders to identify performance issues where additional one-on-one support is required
• Support 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

We are looking for a highly skilled and experienced professional with the following qualifications:

• Graduate with a minimum of 3+ years of experience in denial management/AR Collection, Pre-Reg, Auth for US Healthcare process. EPIC experience is preferred
• Proficiency in EPIC software
• Knowledge of Denial Management, Pre-Reg, Auth, and PFCC
• Understanding of common healthcare industry terminology, practices, and procedures regarding billing and reimbursement
• 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
• Typing/data entry at a minimum of 40 wpm

Be Part of Our TP Family

At Teleperformance, we are 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 are more productive, creative, and engaged. We are dedicated to providing a workplace that is conducive to happiness and a healthy work-life balance.

Career Growth Opportunities and Learning Benefits

We offer a range of career growth opportunities and learning benefits to help you develop your skills and advance your career. Our training programs are designed to support your professional development, and our leadership team is committed to helping you achieve your goals.

Work Environment and Company Culture Highlights

We are a global company with a local presence, offering a dynamic and supportive work environment. Our company culture is built on the values of inclusivity, diversity, and respect, and we are committed to creating a workplace that is conducive to happiness and a healthy work-life balance.

Compensation, Perks, and Benefits

We offer a competitive compensation package, including a salary, benefits, and perks. Our benefits package includes medical, dental, vision, 401k, and more. We also offer paid time off, employee wellness and engagement program, and a range of other perks and benefits to support your physical and mental well-being.

Conclusion

If you are a highly skilled and experienced professional with a passion for delivering exceptional customer experiences, we encourage you to apply for this exciting opportunity. As a Medical Billing Customer Experience Trainer / Quality Assurance Specialist, you will have the chance to work with a talented team of professionals, develop your skills and advance your career, and make a real difference in the lives of our clients and their customers.

Apply now and join our team of dedicated professionals who are passionate about delivering exceptional customer experiences and making a positive impact in the world.