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 andpassionate people speaking more than300 languages, our global scale and localpresence allow us to be a force of goodin supporting our communities, ourclients, 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

• Develop, oversee and report Quality control measures.
• Own the delivery of structured curriculum, provided in live and virtual learning environments to groups and individuals
• Coach one-on-one for ongoing performance improvements through refresher and remediation training
• Maintain a detailed knowledge of process and role specific job aids, to support effective application of curriculum.
• Assess new hires performance by monitoring, evaluating, and reporting training outcomes to local managers and central leadership team
• Liaise with supervisors and other leaders to identify performance issues where additional one-on-one support is required
• Deliver 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

Qualifications

Graduate / under graduate with minimum 3 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

Last updated : 2024-06-04