Job Description

TrainerShould have exposure of handling batches remote or face to face. Basic understanding on excel, PPT, Ms word and reporting. Good knowledge on overall Medical Billing, Hospital billing, experience in Training, Coaching feedback, Client interaction. Good knowledge on Software like NG, ECW, Epic etc. Excellent communication written and verbal presentation skills. Experience in documenting workflows/Sops, processes. Collaborate with other departments on TNA and Make Training plan to address the knowledge gaps. Should be able to identify workflow gaps and standardization opportunities. Able to manage pressure deadlines. Adaptive learner and ready to pick up new areas to learn, should be able to Make Training modules and materials. Collaborator who can do multi - tasking. Initiative-taking, assertive and with a cheerful outlook

ResponsibilitiesFollow Health Insurance Portability and Accountability Act (HIPAA) rules. Converting denials/ unpaid claims into payments by following claim resubmission, appeal, reconsideration processes Claim processing and claim submission methods. Submit the claim to insurance companies to receive payment for services rendered by a healthcare provider. Taking denial status from various insurance carriers Checking eligibility and verification of policy

Analysis of the claim data+ 5+ years in RCM (AR, Billing, Charge validation, Credit balance review) AR 3 years is required. 1-year exp as Trainer on Role


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