Medical Billing Customer Experience Trainer / Quality Assurance...

Remote, USA Full-time Posted 2025-02-21

About TP

Teleperformance is a global, digital business services company. We deliver 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 TP include
? Paid Training
? Competitive Wages
? Full Benefits (Medical, Dental, Vision, 401k and more)
? Paid Time Off
? Employee wellness and engagement program

Purpose

We are looking for a competent Denial Management, Pre-Reg, Auth and PFCC Specialist 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 incumbent should exhibit professionalism and trustworthiness. Should have excellent communication and negotiation skills, as well as an ability to work independently.

This position is 100% work at home.

Your Responsibilities
? the quality of transactions at regular frequency.
? oversee and report Quality control measures.
? the delivery of structured curriculum, provided in live and virtual learning environments to groups and individuals
? one-on-one for ongoing performance improvements through refresher and remediation training
? a detailed knowledge of process and role specific job aids, to support effective application of curriculum.
? new hires performance by monitoring, evaluating, and reporting training outcomes to local managers and central leadership team
? with supervisors and other leaders to identify performance issues where additional one-on-one support is required
? and 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
? graduate with minimum 3+ years experience in denial management/AR Collection, Pre-Reg, Auth for US Healthcare process. EPIC experience is preferred.
? of EPIC software
? 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
? oral and written communication skills
? to use a Windows based computer system and common business software found in Microsoft Suite (Excel, PowerPoint, Outlook etc.)
? to work independently to effectively and efficiently perform assigned duties
? to maintain high level of ethics, and a courteous and professional demeanor
? to multi-task, establish and meet deadlines
? typing/data entry at a minimum of 40 wpm.

Be Part of Our TP Family

It is our mission 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. We are committed to providing a workplace that is conducive to happiness and a healthy work-life balance. We also believe that to be our best selves, we need to be surrounded by people who are positive, supportive, and challenging. We are committed to creating a culture of inclusion and diversity, where everyone feels welcome and valued.

Teleperformance is an Equal Opportunity Employer

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