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.

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 v

📌 Trainer (Chennai)
🏢 Med-Metrix
📍 Chennai