Senior Trainer – Business Training (Payer Services)

We are looking for a dedicated and experienced Senior Trainer to join our team, specializing in Payer Services. The ideal candidate will be responsible for creating and delivering training content, onboarding new hires, and ensuring all team members are well-versed in compliance and process improvement initiatives.

KEY RESPONSIBILITIES

Develop comprehensive training materials covering the general concepts of Payer Services with a focus on preprocess training

Manage the onboarding process, including system collection, OIG, whitelisting URLs, and ARC orientation training

Conduct client specific orientation sessions to ensure new hires are fully integrated into the company culture and processes

Deliver compliance courses for all employees to ensure adherence to regulatory requirements

Prepare training content for Maintenance of Certification (MOC) and train client partners, ensuring successful assessment closure

Provide client-specific process training for new hires, ensuring they understand all relevant procedures and policies

Offer on-the-job training (OJT) support to new hires, facilitating their transition into their roles

Develop and conduct weekly training sessions based on new updates and error trends

Conduct weekly refresher courses, coaching, and feedback sessions to maintain high performance levels

Maintain extensive knowledge of all processes and sub-processes within Payer Services

Conduct random production audits to ensure adherence to standards and identify areas for improvement

Coordinate process calibration sessions between Operations and Service Quality teams

Lead initiatives aimed at improving processes and enhancing service quality

Job requirements :

Strong understanding of compliance requirements and payer services processes

Exceptional communication and presentation skills

Ability to conduct engaging and effective training sessions

Strong organizational skills and attention to detail

Ability to work collaboratively with different teams and stakeholders

A proactive approach to problem-solving and process improvement

QUALIFICATIONS

Minimum 6 years of work experience

In-depth knowledge of the Revenue Cycle Management (RCM)

Knowledge on Payer workflows like Enrollment, Claims Adjudication, Appeals and Grievances, Payment Integrity & Authorization

Expertise on Payer terminologies (Related to Medicare Advantage programs ) and concepts like Credentialing, Authorization, Out of network and In Network concepts & Subrogation.

Skills Required

Compliance requirements, Payer services processes