Job Purpose
The Trainer is responsible for conducting medical billing, claim denials & appeals, revenue cycle management training programs for recent 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 US health insurance payers
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
Other duties as assigned
Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
Understand and comply with Information Security and HIPAA policies and procedures at all times
Limit viewing of PHI to the ab

📌 Trainer (Chennai)
🏢 Med-Metrix
📍 Chennai