07 Nov
|
Gebbs Healthcare Solutions
|
Hyderabad
07 Nov
Gebbs Healthcare Solutions
Hyderabad
HOSPITAL BILLING ACADEMY
CompanyGeBBS Healthcare SolutionsDepartmentBusiness Excellence – TrainingLocationHyderabadExperience5–8 years in US Healthcare RCM, including 2+ years in Training, Quality or SME roles
Role Summary
GeBBS is establishing a dedicated Hospital Billing Academy to develop skilled professionals in US Hospital/Facility Billing. The trainer will design curricula, deliver classroom and practical training, conduct assessments, and prepare trainees for deployment into Operations.
Key Responsibilities
· Deliver new-hire, cross-skill, refresher and process-specific training on the end-to-end US hospital revenue cycle.
· Train associates on inpatient, outpatient, emergency department and observation billing workflows using practical claim scenarios.
· Develop academy curricula, process guides, job aids, case studies, mock billing exercises and scenario-based assessments.
· Provide hands-on coaching on claim validation, billing edits, denials, corrections, resubmissions and payer requirements.
· Assess trainee readiness, track throughput, completion and OJT performance, and address knowledge gaps.
· Partner with Operations, Quality and SMEs on client transitions, calibration, process updates and training effectiveness.
· Support digital learning, simulations and continuous curriculum improvement.
Required Technical Skills – Mandatory
· US Hospital/Facility Billing and institutional claims using UB-04/CMS-1450 and 837I.
· Inpatient and outpatient billing; Type of Bill, Revenue Codes, Condition Codes, Occurrence Codes, Value Codes and Patient Status Codes.
· Medicare, Medicaid and commercial payer billing guidelines; eligibility, authorization, COB and medical necessity concepts.
· Claim creation, edits, rejections, corrections, resubmissions, hospital AR follow-up and denial management.
· Working knowledge of ICD-10-CM, CPT and HCPCS as applicable to facility billing.
Additional Domain Knowledge – Preferred
· MS-DRG,
APC and OPPS reimbursement concepts; NCCI edits and payer-specific billing requirements.
· EOB/ERA, payment posting, contractual adjustments, underpayments, refunds and credit balances.
· 835, 999 and 277CA transactions; CMS guidance and HIPAA compliance.
· Exposure to Epic, Cerner/Oracle Health, MEDITECH or similar hospital billing systems; clearinghouses and claim scrubbers.
Training and Behavioral Skills
· Confident classroom facilitation and transparent communication with freshers and experienced associates.
· Ability to develop training material, assessments and practical case studies independently.
· Analytical problem-solving, coaching, stakeholder management and strong documentation skills.
· Proficiency in Excel and PowerPoint; LMS or digital simulation experience is advantageous.
Qualifications and Experience
· Bachelor’s degree in any discipline; healthcare, life sciences, commerce or related background preferred.
· At least 5 years of relevant US Healthcare RCM experience with substantial hands-on institutional billing exposure.
· At least 2 years in Training, Quality, SME or process coaching roles.
· Physician/professional billing experience alone is not sufficient.
· AAPC CPB, CPC or relevant AHIMA credentials are an advantage, not mandatory.
Key Performance Indicators
· Training throughput and successful deployment; assessment completion and pass rates.
· Adherence to training timelines and defined OJT readiness standards.
· Trainee productivity and quality in early production; reduction in recurring billing errors.
· Curriculum accuracy, updates and stakeholder feedback.
Preferred Candidate Profile
An experienced Hospital Billing Trainer, SME or Quality Lead with deep institutional billing expertise and the ability to build a structured, scalable academy from the ground up. The role requires practical billing knowledge—not only theoretical RCM knowledge.
Primary Objective
Establish a standardized Hospital Billing Academy that improves new-hire readiness, reduces learning time and supports consistent productivity and quality across Hospital Billing Operations.
📌 Process Trainer ( Hospital Billing ) - US Healthcare (Hyderabad)
🏢 Gebbs Healthcare Solutions
📍 Hyderabad