• Performance ,
  • Integrity ,
  • Service


Trainer/Auditor-Medical Insurance Follow-Up

Job Title: Trainer/Auditor-Medical Insurance Follow-Up
Division: NCC
Reports To: VP/Director of Operations
Department: Insurance

As Trainer/Auditor-Medical Insurance Follow-Up, you must have a clear understanding of the Vision and Mission Statements and be able to translate them into reality through your day-to-day relation with the insurance staff members. Responsible for training new hires as well as recurrent training of the insurance department staff to ensure all third-party medical claims are resolved in the most effective and efficient manner. This is a training and auditing position.

• Responsible for new hire, client specific insurance training, including HIPPA
• Train supervisors/managers
• Manage monthly audits and deliver findings to staff and management
• Organize training sessions for employees to develop their understanding of insurance policies and procedures as part of their PIP (Process Improvement Plan)
• Proactively reports critical issues to management
• Designs, updates and implements policies, procedures and protocols to ensure efficiency and accuracy in insurance operations as needed
• Attend client meeting to stay up to date on all policy and procedure changes
• Conducts departmental trainings with staff for updates and to educate them on new work methods
• Provide the necessary guidance and on-job coaching and in-service training for the staff
• Report any abnormalitys you might notice.
• Assume new responsibilities as and when needed.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Extensive Experience working on EPIC
• Extensive Experience with all third-party medical payers
• Extensive experience working hospital billing/follow up as well as physician billing/follow up
• Experience trainings large and small groups of representatives
• Ability to effectively motivate a team or individual
• Ability to interact with and communicate with clients as well as staff

• A high school diploma and a minimum of two years relevant experience is preferred
• 2 years minimum of training experience
• 2 years auditing experience
• 2 years minimum experience working in EPIC
• Knowledge of HIPAA
• Ability to communicate clearly and succinctly, utilizing proper grammar
• Prior PC and keyboard knowledge are preferred
• Ability to compute basic math calculations using addition, subtraction, multiplication, division, and percentages is preferred