Job Description

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
The Healthcare Trainer - AR Follow Up 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.
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