Claims Training Specialist
The Training Specialist trains staff on all activities related to claims processing, customer service, documentation, policies and procedures. This position also develops and monitors the efficiency and usefulness of the desktop reference systems and manuals, recommends updates to policies to increase productivity, elevates current staff for accuracy and skill, identifies and addresses individual or departmental training needs.
This position has an emphasis on claims processing for the Reimbursement Services Department. The Training Specialist will develop and administer claims processing training, assist in the oversight of the daily operations of the Claims Department, and ensure adherence to Health Choice policy and procedure and contractual guidelines for claims administration.
Health Choice exists to improve the health and well-being of the individuals we serve through our health plans, integrated delivery systems and managed care solutions. We strive to recruit and retain only the finest health care professionals with the highest levels of integrity, compassion and competency. If you are driven by your own personal commitment to these values and desire to work in a team-focused, collaborative and supportive environment - while still being valued for your individual strengths - Health Choice is the place for you.
Equal Opportunity Employer Minorities/Women/Veterans/Disabled
High School Diploma / GED
Some college in business or health care
Ability to lead others
Med MC and Care Radius experience
At least two (2) years supervisory experience
At least two (2) years claim processing experience in HCFA 1500s and UB92s or Medical Claims Billing