Trainer, US Healthcare

4 days ago

Manila, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full time $60,000 - $80,000 per year

Experience these Xtraordinary benefits when you join Med-Metrix

  • 8-Hour Shifts, Fixed Weekends Off
  • Day 1 HMO with 2 of your dependents covered for FREE
  • Medical Cash Allowance
  • Rice Allowance
  • Clothing Allowance
  • Free Lunch Daily
  • Paid Time Off
  • Training and Staff Development
  • Employee Engagement Activities
  • Opportunities for Internal Mobility

The Trainer is responsible for conducting medical billing, claim denials & appeals, revenue cycle management training programs for new 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 the Top US Health Insurance Payers (Aetna, BCBS, Humana, UHC, Cigna, etc.)
  • 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.

Qualifications

  • Must have completed a Bachelor's Degree.
  • Previous training work experience of at least a year.
  • Minimum of 2 years of medical billing or revenue cycle management experience specific to AR and Denials Management or provider side of the healthcare insurance industry.
  • In-depth understanding of claim denials.
  • CPB and Coding Certification (CPC, CCS, COC) is an advantage.
  • Supervisory experience preferred; demonstrated leadership skills.
  • Willingness and flexibility to work extended hours.
  • Knowledge of general computer applications and ability to multitask on two monitors. Proficient with Microsoft Office products.
  • Must be amenable to work during US hours
  • Must be amenable to work onsite

  • Clinical Trainer

    2 days ago

    Manila, National Capital Region, Philippines Access Healthcare Full time ₱1,200,000 - ₱2,400,000 per year

    We are seeking a motivated and experienced Clinical Trainer to join our Healthcare Business Processing Outsourcing Team. In this role, you will be responsible for overseeing the clinical training programs, ensuring deployed employees possess the necessary skills and knowledge to deliver exceptional services to our clients. The ideal candidate will have a...

  • Process Trainer

    4 weeks ago

    Manila, National Capital Region, Philippines HR TechX Corp. Full time

    OverviewJoin to apply for the Process Trainer (USRN)_Up to 85K role at HR TechX Corp.QualificationsBachelors degree in Nursing with an active US Registered Nurse License of any state (preferably New York)Minimum 1-2 years experience in a US Healthcare account (Utilization Management Review and Clinical Appeals)Exposure to Inpatient/Concurrent...

  • Trainer

    4 days ago

    Manila, National Capital Region, Philippines TTEC Full time ₱900,000 - ₱1,200,000 per year

    Your potential has a place here with TTEC's award-winning employment experience. As a Learning and Development Trainer working onsite as needed by the business) in Metro Manila, Philippines, you'll be a part of bringing humanity to business. #experienceTTECWhat You'll be Doing Do you have a passion to train and guide others towards best practices? Do you...

  • Senior Trainer

    4 days ago

    Manila, National Capital Region, Philippines IFIVE INC. Full time ₱900,000 - ₱1,200,000 per year

    SENIOR TRAINER (Learning and Development)Work for our global clients and immerse in our rich and diverse company culture where you can thrive, grow and be #DecidedlyDifferentROLE OVERVIEWThe L&D Sr. Trainer for Leadership Development is in charge of ensuring that iFive training and coaching needs are met by working with the Training Lead/Manager.MAIN...

  • Administrative VA Trainer

    7 days ago

    Manila, National Capital Region, Philippines Private Advertiser Full time ₱600,000 - ₱1,200,000 per year

    Job DescriptionPosition: Part-Time (Per Booking) TrainerRole Title: Administrative VA Trainer – Mastering Office & Productivity SupportAbout the RoleWe are seeking a skilled and passionate trainer to join our learning community as a Part-Time Trainer (Per Booking Basis). This role is ideal for professionals with real-world Virtual Assistant or...

  • Sales Trainer

    2 days ago

    Manila, National Capital Region, Philippines Cloudstaff Full time ₱1,200,000 - ₱2,400,000 per year

    We're Hiring: Sales TrainerLooking for a role that fosters collaboration, creativity and career growth in a vibrant office environment? We got you coveredWe are currently on the lookout for a Sales Trainer join our team at Cloudstaff, the #1 workplace everywhere Think you qualify for the role? Attach a 1-2 minute video intro and introduce yourself to us so...

  • Personal Trainer

    4 days ago

    Manila, National Capital Region, Philippines HEALTHY MOMENTS CONSULTING INC Full time ₱250,000 - ₱450,000 per year

    As a Personal Trainer, you will guide clients in improving their physical health through customized fitness and wellness programs. Your role includes assessing clients' needs, developing tailored exercise routines, and monitoring their progress. You will primarily work on the gym floor and may handle heavy equipment. As a role model, professionalism,...

  • Recruitment Trainer

    4 days ago

    Manila, National Capital Region, Philippines Wingman Group PTY LTD Full time ₱1,200,000 - ₱2,400,000 per year

    We are seeking a passionate and experienced Recruitment Trainer to join our Wingman Team (CORE) department. As a Recruitment Trainer, you will be responsible for developing and delivering training programs to enhance the recruitment skills of our team members. Your main duties will include conducting training sessions, creating training materials, and...

  • Customer Service VA Trainer – Excellence in Client

    7 days ago

    Manila, National Capital Region, Philippines Private Advertiser Full time ₱60,000 - ₱120,000 per year

    Job DescriptionPosition: Part-Time (Per Booking) TrainerRole Title: Customer Service VA Trainer – Excellence in Client & Customer RelationsAbout the RoleWe are seeking a knowledgeable and engaging trainer to join our learning community as a Part-Time Trainer (Per Booking Basis). This role is perfect for professionals with hands-on experience in customer...

  • Technical Trainer

    4 days ago

    Manila, National Capital Region, Philippines SupportNinja Full time ₱900,000 - ₱1,200,000 per year

    Work Setup:Onsite at The Hideout in Clark, Pampanga/RemoteEmployment Type: Full TimeIf you are interested, you can access your instant interview here: The Technical Trainer conducts product-specific and basic training to newly hired employees, as well as additional training to current employees to keep everyone up-to-date on changes in the industry that...