RCM Operations Trainer – Home Health Billing & Denial Management

Job Title: RCM Operations Trainer – Home Health Billing & Denial Management

Position Summary:

RCM Operations Trainer

Medicare, Medicaid, Managed Care, and commercial payers

Reports To:

Director of Revenue Cycle Management (RCM)

Required Experience:

• 2–5 years

  in RCM operations with a primary focus on

  home health billing and denial management

• Hands-on experience with

  multiple home health platforms

• Strong understanding of

  payer policies and insurance portal navigation

Key Responsibilities:

1. Training & Development

• Design and deliver

  comprehensive onboarding training programs

  for all new RCM hires (billers, collectors, authorization reps, eligibility & benefits, etc.)
• Train staff on home health-specific billing workflows.
• Deliver denial management training.
• Develop

  interactive modules

  to teach effective

  insurance portal navigation

  (UHC, Availity, NaviNet, Medicare DDE, Medicaid portals, etc.)
• Provide

  refresher training

  and

  skills enhancement sessions

  to address performance gaps

2. Systems and Platform Proficiency

• Deliver hands-on platform training
• Ensure trainees can confidently:
• Navigate the platform
• Create and manage claims
• Track payments and denials
• Document communication
• Regularly update SOPs as platform features evolve

3. Performance Tracking & Quality Assurance

• Develop

  pre- and post-training assessments

  to evaluate knowledge retention
• Maintain

  training dashboards

  to track

4. Process Documentation and SOPs

• Develop and maintain up-to-date

  training manuals

  ,

  process guides

  , and

  visual aids

• Create

  job aids

  for insurance-specific billing, documentation rules, and portal usage
• Ensure all training documents reflect the latest regulatory and payer changes

5. Collaboration & Support

• Work closely with

  Billing Supervisors

  ,

  Denial Analysts

  , and

  Credentialing Teams

  to align training content with real-time challenges
• Participate in

  internal audits

  ,

  payer audits

  , and

  compliance reviews

  as needed
• Be available as a

  point of escalation

  for platform navigation or payer-specific claim issues