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Overview
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.
Responsibilities
Your Responsibilities
RCM Specialists care for the people who care for our patients by performing Pre-Reg, Auth, AR Denials and Patient Financial Contact center functions that require superior service and attention to detail.
Bring better care to the front lines by supporting the execution and achievement of functional areas and company goals
Partners with internal departments to resolve issues related to all tasks and assignments supporting the business
Point of contact for internal and external customer inquiries, which entails contacting insurance companies and/or addressing patient inquiries
Uses software and company systems to source, obtain, process, audit and analyze standard data reporting and presenting
Plans, organizes, and executes tasks and activities with urgency and in accordance with managers’ delegated assignments
Responds to and resolves issues related to Auth/Pre-Reg, AR Denials, patient and billing inquiries, while seeking leadership guidance for non-routine inquiries or escalated concerns
Providing excellent customer service to patients and insurance representatives.
Qualifications
Qualifications
Graduate/under graduate with minimum 4 years experience in denial management/AR Collection, Pre-Reg, Auth for US Healthcare process. EPIC experience is preferred.
Knowledge of EPIC software
Knowledge of Denial Management, Pre-Reg, Auth and PFCC
Thorough understanding of common healthcare industry terminology, practices and procedures regarding billing and reimbursement
General 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 high level of ethics, and a courteous and professional demeanor
Ability to multi-task, establish and meet deadlines
Accurate 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
Job Locations US-FL-Tallahassee | US-AZ | US-AR | US-CT | US-DE | US-FL | US-GA | US-ID | US-IL | US-IN | US-IA | ...
Requisition ID 2024-49390
Category Client Operations
Country United States