Location
Chennai | India
Job description
Description
Job Purpose A Medical Billing Trainer is responsible for conducting medical billing, claim denials & appeals, revenue cycle management training programs for new and existing forensic billers.
Performs actual medical billing & claim denials work for existing accounts on a regular basis to keep an up-to-date knowledge of the process.
Participates in process implementation during account take offs or go-live.
They are also responsible to fulfill the following duties and responsibilities: - Develops curriculum, training syllabus, and course modules related to Medical Billing (US Health Insurance, Claims Process, Denials & Appeals, Revenue Cycle Management)
- Develop Basic Account Navigation Workflow of Billing System for both HP and PB(Epic, Athena) and other system tools (Encoder Pro, CCI Edit) used by the department.
- Develops Denials Process workflow for Common Denials (Duplicate, Timely Filing, No Prior-Auth, Medical Necessity, etc.)
- Develops a guideline for common Payer Policies for the Top US Health Insurance Payers (Aetna, BCBS, Humana, UHC, Cigna, etc)
- Update and improve existing training and process modules
- Coordinate with forensic quality department to identify areas for process improvement and produce materials for claim edits, denials workflow, systems & process training from client
- Develops and produce materials for Medical Billing, Denials, Systems and Process exercises and qualifying examinations
- Updates weekly deck (performance and attendance for training meeting).
- Participates in weekly training meetings with the upper management.
- Collaborates with billing operations managers, supervisors, and quality to resolve issues that impact internal and external customers.
- Develops and conducts Call/Phone Handling Training for the new hires and existing forensic billers.
Requirements Qualifications and Education Requirements: - Previous training work experience of at least a year.
- Minimum of 2 years of medical billing or revenue cycle management experience specific to AR and Denials Management or provider side of the healthcare insurance industry.
- In-depth understanding of claim denials.
- CPB and Coding Certification (CPC, CCS, COC) is an advantage.
- Supervisory experience preferred; demonstrated leadership skills.
- Willingness and flexibility to work extended hours.
- Knowledge of general computer applications and ability to multitask on two monitors. Proficient with Microsoft Office products.
- Ability to work in a team fostered environment and have the willingness to adjust to changing job responsibilities, shifting schedules, new procedures and unexpected workloads and stresses.
- Possess strong verbal, written communication, interpersonal skills and analytical skills
- Assertive self-starter who can work independently, yet function in a team environment
- Ability to plan well and prioritize work and maintain calmness under pressure.
- Good interpersonal and other training soft skills (motivation, patience, good sense of humor).
- An understanding and strict adherence to all HIPAA regulations.
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