{"id":3084469,"url":"https://alion.io/job/vaxcare-rcm-operations-preprocess-specialist","title":"RCM Operations, PreProcess Specialist","company":{"id":2393190,"name":"VaxCare","domain":"vaxcare.com","url":"https://alion.io/company/vaxcare","size_band":"1-10","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"ADP","truth_index":null},"role":"Operations","role_family":"Operations","seniority":null,"employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Orlando, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":null,"experience_years_min":null,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Microsoft Excel","optional":false}],"status":"live","first_seen_at":"2026-10-22T13:05:00Z","employer_posted_date":"2026-10-22","last_verified_at":"2026-10-25T16:18:36Z","board_verified":true,"closed_at":null,"days_open":3,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":3},"description":"RCM Operations, Preprocess Specialist\nJOB DESCRIPTION\n\nJob Title: RCM Operations, PreProcess Specialist\nPosition Type: Full Time\nWork Setting: In Office\nDepartment: Core Ops: RCM - PreProcess\nReports to: PreProcess Manager\nFLSA: Hourly, Non-Exempt\nABOUT VAXCARE\nThe 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.\nTHE POSITION\nOur 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.\nESSENTIAL RESPONSIBILITIES\nThe PreProcess Specialist role is all about pre-submittal for claims processing. This team oversees claims submission to insurance companies and solves any internal and payer rejection errors. The goal of this team is to ensure claims are submitted accurately and in a timely manner to an accepted status. This role exposes us to the use of external payer portals to obtain patient eligibility information and process the claims accurately through our clearinghouse.\nMeet daily metrics related to quality and quantity of work as assigned\nFile claim corrections using web-based applications and bring claims to a final state of resolution promptly\nInvestigate what factors contribute to claims not being accepted by the clearinghouse, and make changes to achieve that.\nCollaborate with your team to create and implement enhanced collection techniques based on experience, data, and analytics\nREQUIRED EXPERIENCE & QUALIFICATIONS\nCritical thinkers who are willing to research and solve problems.\nEagerness to learn the industry and position to grow within VaxCare.\nAptitude and motivation.\nProficient in Excel (Pivot Tables, Formulas and Charts)\nGood tenure of consistent experience.\nCandidates with prior Healthcare Insurance Claims experience are preferred.\nCOMPETENCIES: Core to all positions at VaxCare\nWe Live (and Work) by Our Values:\n- Building a team culture founded on trust, collaboration, and delivery excellence\n- Belief in Something Bigger than Ourselves - Capacity to derive meaning from a larger purpose\n- Humility as a Posture of Learning - Burning curiosity to learn without ego\n- Adaptability & Embracing Change - Nimbleness & ready to seize new opportunities\nAdditional “Must Haves”:\n- Dependability - Must be able to meet deadlines, work independently, maintain focus, & punctual\n- Interpersonal Skills - Builds strong relationships & contributes to a positive work environment.\n- Computer Skills - Skilled with computers, learns new tools quickly.\n- Ethics - Honest, accountable, maintains confidentiality.\nOTHER RESPONSIBILITIES\nCommute to Office: Must be able to commute to and from the corporate office for each scheduled shift.\nProlonged 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.\nRepetitive motions: Significant use of the hands, wrists, and fingers is required for tasks like typing, using a computer mouse, and handling paperwork.\nVisual acuity: This job requires the ability to view a computer screen and read documents for extended periods.\nCommunication: Team members must be able to clearly express and exchange ideas in English to effectively communicate with customers and co-workers.\nOccasional lifting: Many office-based jobs specify the ability to occasionally lift or move up to 10-20 pounds to handle supplies or equipment.\nPhysical Requirements/Work Environment:\nTASK\nContinuous\nIntermittent\nSeldom\nN/A\nRegular & Reliable Attendance\nX\nStanding/Walking\nX\nTravel/Driving/Operating Vehicle\nX\nSitting (desk/computer work)\nX\nLifting/Lowering/Carrying (up to 20lbs)\nX\nReaching/Bending/Twisting\nX\nHand/Wrist Use (typing/mouse/writing)\nX\nIn person attendance for meetings/conferences\nX\nOperating Mobile Equipment/Machinery\nX","description_format":"text","description_chars":4713,"description_truncated":false,"requirements":{"experience_years_min":null,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[{"language":"English","level":"All levels","optional":false}]},"benefits":[],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Primary Care & Medical Centers"],"lifecycle":[{"event":"open","at":"2026-10-22T13:14:58Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 1","filings_12m":1,"filings_prev_12m":2,"green_card_filings_12m":0,"median_offered_wage_usd":142500,"route":null,"cap_exempt":false,"checked_at":"2026-10-15T11:24:14+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)"],"filings_for_role_12m":0}],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":2,"expected_fill_days":25,"reasons":["conf:3","win:early"],"computed_at":"2026-10-25T05:49:26Z"},"pay":null,"html_url":"https://alion.io/job/vaxcare-rcm-operations-preprocess-specialist","json_url":"https://alion.io/job/vaxcare-rcm-operations-preprocess-specialist.json","meta":{"generated_at":"2026-10-25T21:00:46Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":29677,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-26T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":2393190},"rest":"https://alion.io/mcp/rest/get_company?id=2393190"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fvaxcare-rcm-operations-preprocess-specialist"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fvaxcare-rcm-operations-preprocess-specialist"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fvaxcare-rcm-operations-preprocess-specialist"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/vaxcare-rcm-operations-preprocess-specialist\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fvaxcare-rcm-operations-preprocess-specialist"}]}