RCM Operations, PreProcess Specialist

VAXCARE LLCOrlando, FL
Onsite

About The Position

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, & punctual
  • 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 are preferred.

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
  • Investigate what factors contribute to claims not being accepted by the clearinghouse, and make changes to achieve that.
  • Collaborate with your team to create and implement enhanced collection techniques based on experience, data, and analytics
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