RCM Operations, PreProcess Specialist

VAXCARE LLCOrlando, FL
Onsite

About The Position

The healthcare system is complex, presenting challenges for everyone—patients, doctors, nurses, office managers, and billers alike. At VaxCare, we aim to streamline this complexity, eliminating unnecessary costs and confusion so that practices can focus on their important work: caring for patients. Our innovative solutions include a vaccine management and LARC access platform trusted by over 20,000 active providers nationwide. This service is powered by a multidisciplinary team of dedicated professionals who lead with integrity and a relentless drive to exceed expectations, bringing clarity and efficiency to the often-overwhelming world of healthcare. Our team is passionately dedicated to maximizing RCM reimbursement opportunities with efficiency and scalability. We are seeking a motivated problem solver to join the Revenue Cycle Management Operations Team. This role plays an integral role in the claims collection cycle, providing direction and analysis on denied claims. These responsibilities help fuel our mission.

Requirements

  • Critical thinkers who are willing to research and solve problems
  • Eagerness to learn the industry and position to grow within VaxCare
  • Aptitude and motivation
  • Proficient in Excel (Pivot Tables, Formulas and Charts)
  • Good tenure of consistent experience
  • Dependability – Must be able to meet deadlines, work independently, maintain focus, be punctual and good attendance record
  • Interpersonal Skills – Builds strong relationships & contributes to a positive work environment
  • Computer Skills – Skilled with computers, learns new tools quickly
  • Ethics – Honest, accountable, maintains confidentiality

Nice To Haves

  • Candidates with prior Healthcare Insurance Claims experience

Responsibilities

  • Meet daily metrics related to quality and quantity of work as assigned
  • File claim corrections using web-based applications and bring claims to a final state of resolution promptly
  • Collaborate with your team to create and implement enhanced collection techniques based on experience, data, and analytics
  • Work with payers to understand why a claim was denied
  • Call to get the claim status
  • Post payments to our data entry portal
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