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We are looking for a dedicated and experienced Senior Trainer to join our team, specializing in Payer Services. The ideal candidate will be responsible for creating and delivering training content, onboarding new hires, and ensuring all team members are well-versed in compliance and process improvement initiatives.
Job Responsibility:
Develop comprehensive training materials covering the general concepts of Payer Services with a focus on preprocess training
Manage the onboarding process, including system collection, OIG, whitelisting URLs, and ARC orientation training
Conduct client specific orientation sessions to ensure new hires are fully integrated into the company culture and processes
Deliver compliance courses for all employees to ensure adherence to regulatory requirements
Prepare training content for Maintenance of Certification (MOC) and train client partners, ensuring successful assessment closure
Provide client-specific process training for new hires, ensuring they understand all relevant procedures and policies
Offer on-the-job training (OJT) support to new hires, facilitating their transition into their roles
Develop and conduct weekly training sessions based on new updates and error trends
Conduct weekly refresher courses, coaching, and feedback sessions to maintain high performance levels
Maintain extensive knowledge of all processes and sub-processes within Payer Services
Conduct random production audits to ensure adherence to standards and identify areas for improvement
Coordinate process calibration sessions between Operations and Service Quality teams
Lead initiatives aimed at improving processes and enhancing service quality.
Requirements:
Minimum 6 years of work experience
Strong understanding of compliance requirements and payer services processes
Exceptional communication and presentation skills
Ability to conduct engaging and effective training sessions
Strong organizational skills and attention to detail
Ability to work collaboratively with different teams and stakeholders
A proactive approach to problem-solving and process improvement
In-depth knowledge of the Revenue Cycle Management (RCM)
Knowledge on Payer workflows like Enrollment, Claims Adjudication, Appeals and Grievances, Payment Integrity & Authorization
Expertise on Payer terminologies (Related to Medicare Advantage programs ) and concepts like Credentialing, Authorization, Out of network and In Network concepts & Subrogation.
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