Senior Training Specialist

4 days ago

Chennai, Tamil Nadu, India beBeePayer Full time ₹ 9,00,000 - ₹ 12,00,000

We are seeking an experienced professional in Payer Services to join our team as a Senior Training Specialist. The ideal candidate will be responsible for creating impactful training content, onboarding new hires, and ensuring all team members are well-versed in compliance and process improvement initiatives.

Key Responsibilities
  • Develop comprehensive training materials covering 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 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.
Job Requirements
  • 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.
Qualifications
  • Minimum 6 years of work experience.
  • In-depth knowledge of Revenue Cycle Management (RCM).
  • Knowledge of 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, In-Network concepts, and Subrogation.

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