Manager Training

1 day ago

Hyderabad, India Stw Consultancy Full time

Role: MANAGER TRAINING (Clinic Prior Authorization )

Location: Hyderabad

A Training Manager for Clinic Prior Authorization oversees training programs to ensure staff efficiently and accurately navigate insurance pre-authorization processes, which involves designing curricula, developing training materials, and delivering instruction on payer requirements, documentation, and compliance. Key responsibilities include identifying training needs, collaborating with departments to align training with clinic goals, and staying current with evolving payor policies and electronic record systems.

Key Responsibilities

  • Curriculum Design & Development:

Create, update, and maintain training materials, including manuals, presentations, and e-learning modules, focusing on all aspects of prior authorization.

  • Training Delivery:

Conduct engaging and effective training sessions for staff who handle prior authorization, ensuring they understand payor guidelines, required documentation, and system navigation.

  • Needs Assessment:

Work with department heads and staff to identify gaps in knowledge and skills related to prior authorization and determine specific training needs.

  • Policy & Compliance Updates:

Keep training content current with the latest changes in insurance regulations, payer policies, and healthcare compliance standards.

  • Performance Monitoring:

Evaluate the effectiveness of training programs and monitor the performance of trained staff to ensure consistent and accurate application of prior authorization procedures.

  • Cross-functional Collaboration:

Liaise with clinical staff, billing departments, and IT to ensure seamless integration of the prior authorization process into overall clinic workflows.

  • System Expertise:

Ensure trainers and staff are proficient with the Electronic Medical Record (EMR) systems and other software used for managing prior authorizations.

Qualifications & Skills

  • Prior Authorization Experience:

Deep understanding of medical insurance pre-authorization processes, including working with various payors and navigating payer-specific requirements.

  • Training & Development Expertise:

Proven ability to design, deliver, and evaluate training programs effectively.

  • Communication Skills:

Excellent verbal and written communication skills to effectively train diverse audiences.

  • Analytical Skills:

Ability to analyze complex payor policies and translate them into clear, actionable training.

  • Adaptability:

Ability to stay updated with the constantly evolving healthcare industry, particularly in the area of prior authorizations.

Regards

Anushri

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