Trainer - AR Follow Up Healthcare

Experience these exceptional benefits when you join Med-Metrix!

• 8-Hour Shifts, Fixed Weekends Off

• Day 1 HMO with 2 of your dependents covered for FREE

• Group Life Insurance

• Medical Cash Allowance

• Rice Allowance

• Clothing Allowance

• Holiday Gift

• Bereavement Assistance

• Free Lunch Daily

• Paid Time Off

• Training and Staff Development

• Employee Engagement Activities

• Opportunities for Internal Mobility

TheHealthcareTrainer - AR Follow Upis 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. 

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 produces 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. 

Qualifications 

• Must have completed a Bachelor's Degree.

• 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.

• Must be amenable to work during US hours

• Must be amenable to work onsite