RCM Claims PreProcess Specialist

VaxCare Corp.; Orlando (FL); On-site; USD 42,000 - 64,000; Full time

Job summary

VaxCare Corp. in Orlando, FL is seeking a PreProcess Specialist to support the Revenue Cycle Management Operations team by handling pre-submittal activities for claims and resolving payer errors. This in-office role emphasizes accuracy, timely submission, and collaboration with teammates.

The candidate will meet daily metrics, utilize web-based portals, and analyze denial patterns to improve submission quality and reimbursement outcomes, while staying compliant with company policies.

Qualifications

• Critical thinkers willing to research and solve problems.
• Willingness to learn the industry and position to grow within VaxCare.
• Aptitude and motivation.
• Proficient in Excel (Pivot Tables, Formulas and Charts).

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 factors that 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

Skills

Critical thinking

Willingness to learn

Aptitude and motivation

Excel proficiency

Tools

Excel

Job description

VaxCare Corp. in Orlando, FL is seeking a PreProcess Specialist to support the Revenue Cycle Management Operations team by handling pre-submittal activities for claims and resolving payer errors. This in-office role emphasizes accuracy, timely submission, and collaboration with teammates.

The candidate will meet daily metrics, utilize web-based portals, and analyze denial patterns to improve submission quality and reimbursement outcomes, while staying compliant with company policies.