RCM Operations Trainer – Home Health Billing

7 days ago

Cochin, Kerala, India Cliniqon® Full time US$ 90,000 - US$ 1,20,000 per year

Key Responsibilities:

1. Training & Development

  • Design and deliver
    comprehensive onboarding training programs
    for all new RCM hires (billers, collectors, authorization reps, eligibility & benefits, etc.)
  • Train staff on
    home health-specific billing workflows
    , including:
  • Billing cycles
    (Medicare, Medicaid, Managed Care)
  • NOA (Notice of Admission) processes
  • Final claim submission
  • Rebills, adjustments, and corrections
  • Deliver
    denial management training
    , including:
  • Root cause analysis
  • Appeals submission
  • Timely follow-up strategies
  • Preventative action education
  • Develop
    interactive modules
    to teach effective
    insurance portal navigation
    (UHC, Availity, NaviNet, Medicare DDE, Medicaid portals, etc.)
  • Provide
    refresher training
    and
    skills enhancement sessions
    to address performance gaps

2. Systems and Platform Proficiency

  • Deliver hands-on platform training on:
  • Kinnser (WellSky)
  • Axxess
  • Devero
  • Homecare Homebase (HCHB)
  • AlayaCare
  • Ensure trainees can confidently:
  • Navigate the platform
  • Create and manage claims
  • Track payments and denials
  • Document communication
  • Regularly update SOPs as platform features evolve

3. Performance Tracking & Quality Assurance

  • Develop
    pre- and post-training assessments
    to evaluate knowledge retention
  • Maintain
    training dashboards
    to track:
  • Completion status
  • Proficiency levels
  • Accuracy in billing post-training
  • Monitor
    KPIs
    (e.g., first-pass claim acceptance rate, reduction in denials, speed of claim resolution)
  • Conduct
    weekly audits
    of trained team members' work for the first 90 days to ensure process adherence
  • Collaborate with QA team to implement error feedback loops

4. Process Documentation and SOPs

  • Develop and maintain up-to-date
    training manuals
    ,
    process guides
    , and
    visual aids
  • Create
    job aids
    for insurance-specific billing, documentation rules, and portal usage
  • Ensure all training documents reflect the latest regulatory and payer changes

5. Collaboration & Support

  • Work closely with
    Billing Supervisors
    ,
    Denial Analysts
    , and
    Credentialing Teams
    to align training content with real-time challenges
  • Participate in
    internal audits
    ,
    payer audits
    , and
    compliance reviews
    as needed
  • Be available as a
    point of escalation
    for platform navigation or payer-specific claim issues

Technical Skills:

  • Proficient in
    RCM platforms
    : Kinnser, Axxess, Devero, HCHB, AlayaCare
  • Experience with payer portals:
    Availity, NaviNet, UHC portal, Medicare DDE, TMHP (Texas Medicaid), etc.
  • Strong knowledge of
    HIPAA
    ,
    CMS billing rules
    , and
    payer-specific claim regulations

Soft Skills:

  • Strong interpersonal and communication skills
  • High attention to detail and accuracy
  • Ability to break down complex processes into teachable steps
  • Strong documentation and presentation skills

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