RCM Operations, PreProcess Specialist

About Vaxcare

The healthcare system is complex, presenting challenges for everyone—patients, doctors, nurses, office managers, and billers alike. At VaxCare, we aim to streamline this complexity, eliminating unnecessary costs and confusion so that practices can focus on their important work: caring for patients. Our innovative solutions include a vaccine management and LARC access platform trusted by over 20,000 active providers nationwide. This service is powered by a multidisciplinary team of dedicated professionals who lead with integrity and a relentless drive to exceed expectations, bringing clarity and efficiency to the often-overwhelming world of healthcare.

About the role

Our team is passionately dedicated to maximizing RCM reimbursement opportunities with efficiency and scalability. We are seeking a motivated problem solver to join the Revenue Cycle Management Operations Team. This role plays an integral role in the claims collection cycle, providing direction and analysis on denied claims. These responsibilities help fuel our mission.

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 what factors 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

Requirements & Qualifications

• Critical thinkers who are willing to research and solve problems
• Eagerness to learn the industry and position to grow within VaxCare
• Aptitude and motivation
• Proficient in Excel (Pivot Tables, Formulas and Charts)
• Good tenure of consistent experience
• Candidates with prior Healthcare Insurance Claims experience are preferred

Core Competencies

• Building a team culture founded on trust, collaboration, and delivery excellence
• Belief in Something Bigger than Ourselves – Capacity to derive meaning from a larger purpose
• Humility as a Posture of Learning – Burning curiosity to learn without ego
• Adaptability & Embracing Change – Nimbleness & ready to seize new opportunities

Additional "Must Haves"

• Dependability – Must be able to meet deadlines, work independently, maintain focus, & punctual
• Interpersonal Skills – Builds strong relationships & contributes to a positive work environment
• Computer Skills – Skilled with computers, learns new tools quickly
• Ethics – Honest, accountable, maintains confidentiality

Physical Requirements

• Commute to Office: Must be able to commute to and from the corporate office for each scheduled shift
• Prolonged sitting or standing: Team members must be able to remain in a stationary position for extended periods, as much of the work involves sitting at a computer or workstation. Some hybrid or office-based roles may also require the ability to stand for portions of a shift
• Repetitive motions: Significant use of the hands, wrists, and fingers is required for tasks like typing, using a computer mouse, and handling paperwork
• Visual acuity: This job requires the ability to view a computer screen and read documents for extended periods
• Communication: Team members must be able to clearly express and exchange ideas in English to effectively communicate with customers and co-workers
• Occasional lifting: Many office-based jobs specify the ability to occasionally lift or move up to 10-20 pounds to handle supplies or equipment