Senior Medical Billing Training & Quality Assurance Specialist – Denial Management, Pre‑Registration, Authorization & PFCC Expertise (Remote)

About arenaflex

arenaflex is a global leader in digital business services, delivering cutting‑edge solutions that help the world’s most trusted healthcare brands streamline revenue cycle management (RCM) and improve patient financial experiences. With a workforce of over 400,000 professionals speaking more than 300 languages, arenaflex combines scale with local expertise to create sustainable value for clients, communities, and the environment. Our commitment to innovation, ethical practice, and inclusive culture makes us a preferred partner for healthcare providers seeking to navigate the complex landscape of medical billing, payer interactions, and compliance.

Why Join arenaflex?

At arenaflex, we believe that a motivated, well‑trained team is the cornerstone of exceptional patient and payer experiences. As a Medical Billing Training & Quality Assurance Specialist, you will be at the heart of our Remote Care Management (RCM) operations, shaping the skills of new hires, refining quality standards, and ensuring that every claim is processed with precision. This role offers you the chance to work 100 % from home, enjoy a supportive learning environment, and contribute to a mission that directly impacts the financial health of healthcare organizations and the wellbeing of patients.

Key Responsibilities

• Design, develop, and deliver structured training curricula for medical billing teams, using both live virtual classrooms and on‑demand e‑learning modules.
• Conduct one‑on‑one coaching sessions to address performance gaps, reinforce best practices, and drive continuous improvement.
• Monitor and evaluate the quality of billing transactions on a regular cadence, generating detailed reports for local managers and senior leadership.
• Oversee quality control measures, ensuring compliance with state and federal regulations, payer contracts, and internal accreditation standards.
• Collaborate with supervisors and cross‑functional leaders to identify performance issues and implement targeted remediation plans.
• Maintain an up‑to‑date repository of process documentation, job aids, and training materials that reflect the latest changes in payer policies, coding guidelines, and regulatory requirements.
• Lead the end‑to‑end denial management workflow: identify denied claims, perform root‑cause analysis, file corrected claims, and appeal when appropriate.
• Execute pre‑registration, authorization, and PFCC (Patient Financial Care Coordination) activities, ensuring accurate data capture and timely submission to both government and commercial payers.
• Reconcile accounts, track outstanding balances, and communicate proactively with insurance companies to secure payment.
• Provide mentorship and performance feedback to new hires, measuring training outcomes against predefined KPIs and adjusting curricula as needed.

Essential Qualifications

• Minimum three (3) years of hands‑on experience in denial management, accounts receivable (AR) collection, pre‑registration, or authorization within the U.S. healthcare ecosystem.
• Demonstrated expertise in navigating payer portals, understanding reimbursement models for both government (Medicare, Medicaid) and commercial insurers.
• Proficiency with the arenaflex platform (formerly known as EPIC) for claim entry, eligibility verification, and reporting.
• Strong grasp of healthcare terminology, billing cycles, coding conventions, and reimbursement guidelines.
• Excellent oral and written communication skills, with the ability to convey complex concepts clearly to diverse audiences.
• Advanced computer literacy, including Microsoft Office Suite (Excel, PowerPoint, Outlook) and Windows‑based operating systems.
• Ability to work independently, prioritize tasks, and meet strict deadlines while maintaining a high level of accuracy.
• Commitment to ethical conduct, professionalism, and a courteous demeanor in all interactions.
• Typing speed of at least 40 words per minute with high data‑entry accuracy.

Preferred Qualifications & Skills

• Experience with additional RCM software solutions beyond the arenaflex platform.
• Certification in medical billing and coding (e.g., CPC, CPB) or related healthcare administration credentials.
• Background in adult learning principles, instructional design, or a proven track record of developing effective training programs.
• Familiarity with quality assurance frameworks such as Six Sigma, Lean, or ISO standards.
• Demonstrated ability to analyze large data sets, generate actionable insights, and present findings to senior leadership.
• Multilingual capabilities or experience working with diverse, multicultural teams.

Core Competencies & Skills

• Analytical Thinking: Ability to dissect denied claims, identify patterns, and implement corrective actions.
• Negotiation & Influence: Skilled at communicating with payer representatives to resolve disputes and secure timely payments.
• Coaching & Mentorship: Passion for developing talent, providing constructive feedback, and fostering a growth mindset.
• Attention to Detail: Meticulous approach to data entry, documentation, and compliance verification.
• Adaptability: Comfortable navigating evolving regulations, technology updates, and shifting business priorities.
• Time Management: Proven ability to juggle multiple projects, meet deadlines, and maintain productivity in a remote setting.

Career Growth & Development

arenaflex invests heavily in the professional development of its employees. As a Training & Quality Assurance Specialist, you will have access to a robust learning ecosystem that includes:

• Paid training programs and certifications covering advanced RCM strategies, compliance, and leadership development.
• Mentorship opportunities with senior executives and industry experts.
• Clear career pathways leading to senior trainer, quality manager, operations supervisor, or RCM analyst roles.
• Regular performance reviews that focus on skill expansion, goal setting, and personal growth.
• Opportunities to participate in cross‑functional projects, giving you exposure to broader business operations and strategic initiatives.

Compensation, Benefits & Perks

While specific salary ranges are tailored to experience and location, arenaflex offers a competitive compensation package that includes:

• Base salary aligned with industry standards for remote medical billing professionals.
• Performance‑based bonuses tied to quality metrics and training outcomes.
• Comprehensive health benefits covering medical, dental, and vision plans.
• Retirement savings options, including a 401(k) plan with company matching contributions.
• Generous paid time off (PTO) and paid holidays to support work‑life balance.
• Wellness programs that provide mental‑health resources, virtual fitness classes, and employee assistance services.
• Technology stipend for home office setup, ensuring you have the tools needed for success.
• Recognition programs that celebrate achievements and foster a sense of community among remote workers.

Our Culture & Work Environment

arenaflex prides itself on an inclusive, collaborative, and forward‑thinking culture. Even though you will be working from home, you will remain an integral part of a vibrant global community. Our core values include:

• Respect: We honor diverse perspectives and encourage open dialogue.
• Innovation: Continuous improvement and creative problem‑solving are embedded in everything we do.
• Integrity: Ethical conduct and transparency guide our interactions with clients, partners, and each other.
• Empowerment: Employees are trusted to take ownership of their work and drive results.
• Well‑being: A balanced lifestyle is essential; we provide resources that support physical, mental, and emotional health.

Our remote work model is supported by regular virtual town halls, team‑building activities, and a dedicated HR support network that ensures you feel connected, valued, and heard.

How to Apply

If you are ready to leverage your expertise in medical billing, denial management, and training to make a meaningful impact at a leading digital services firm, we invite you to submit your application today. Please click the link below to begin the process:

Apply Now

arenaflex is an equal‑opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.