RCM Preprocess Specialist: Claims Intake & Denial

VAXCARE LLC; Orlando (FL); On-site; USD 42,000 - 62,000; Full time

Job summary

VaxCare is seeking a PreProcess Specialist in Orlando, FL, to join our Revenue Cycle Management Operations team. This role emphasizes pre-submittal for claims and managing submissions to insurance companies from our in-office setting.

The ideal candidate will resolve payer rejections, ensure accuracy, and meet daily quality metrics while leveraging Excel skills and prior healthcare claims experience to improve collection outcomes.

Qualifications

• Critical thinkers who can research and solve problems.
• Eagerness to learn the industry and grow within VaxCare.
• Aptitude and motivation to perform in a fast paced environment.
• Proficient in Excel (Pivot Tables, Formulas and Charts).
• Candidates with prior Healthcare Insurance Claims experience are preferred.

Responsibilities

• PreProcess Specialist focuses on pre-submittal for claims processing.
• Oversee claims submission to insurance companies and resolve payer rejections.
• Ensure claims are submitted accurately and timely to an accepted status.
• Interact with external payer portals to obtain eligibility and process claims through the clearinghouse.

Skills

Critical thinking

Willingness to learn

Aptitude and motivation

Consistent work history

Healthcare claims experience

Tools

Excel

Job description

VaxCare is seeking a PreProcess Specialist in Orlando, FL, to join our Revenue Cycle Management Operations team. This role emphasizes pre-submittal for claims and managing submissions to insurance companies from our in-office setting.

The ideal candidate will resolve payer rejections, ensure accuracy, and meet daily quality metrics while leveraging Excel skills and prior healthcare claims experience to improve collection outcomes.