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Open nowPosted 261 days ago

Trainer - AR Follow Up Healthcare

medmetrix144 open roles

Where
1 Doña Julia Vargas Ave, Pasig, Metro Manila, Philippines
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Your applicationOpen nowTrainer - AR Follow Up Healthcaremedmetrix · 1 Doña Julia Vargas Ave, Pasig, Metro Manila, Philippines

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  5. 33.7%30 days
This job: posted 261 days ago

The posting

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

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