Eligible Designation: Currently working as a Senior Associate, Trainer or QA role.
Eligibility Criteria:
- Minimum 4 years of experience in AR process.
- Minimum 3 years of experience of working in HB and PB (both).
- Understanding of Hospital Billing workflow (Inpatient, Outpatient, ER)
- UB-04 claim knowledge, Denial identification and resolution, Authorization and medical necessity
basics, Appeals and reconsideration process
- Understanding of Professional Billing workflow
- CMS-1500 claim knowledge, CPT, HCPCS, and ICD-10 basics, Denial management and appeals,
Eligibility and authorization review, Payer guidelines and reimbursement basics, AR aging and account review, Payer portal navigation
- PMS (Cerner is an Added Advantage)
- Should have Strong knowledge in US Healthcare Industry.
- Solid interpersonal and excellent communication skills.
- Must be enthusiastic to learn new processes.
- Willing to work night shifts.
- Should work from office.
Roles and responsibilities
- Create and share the training plan with stakeholders.
- Meet Training TAT for CS training Program.
- Deliver client specific training modules to new hires.
- Manage nesting and certification phases for the CPs after CS training.
- Maintain the batch training records attendance, EWS, assessment scores, etc.
- Collect feedback from trainees on the quality of training.
- Monitor the progress of the trainees in ramp and provide constructive feedback.
- Monitor new joiners performance for the first 60 days and clarify process related queries.
- Prepare the training plans, training content and assessments for refresher training.
- Recommend changes in the training plan & training method.
- Manage process updates and schedule weekly assessments
- Update SOP and PWI on a weekly basis.
- Liaise with managers to determine training needs and schedule training sessions.
- Design effective training content.
- Prepare educational material such as module summaries.
- Support and mentor new employees and trainers.
- Manage training data.
- Conduct evaluations to identify areas of improvement.
- Monitor employee performance and response to training.
Interview process.
- GB/DM Knowledge Test
- Teach back in RCM Concepts
- Face to face interview
📌 Training Specialist - AR (Chennai)
🏢 Access Healthcare
📍 Chennai
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