RCM Operations Trainer – Home Health Billing & Denial Management

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

  , including: 

• Billing cycles

  (Medicare, Medicaid, Managed Care) 

• NOA (Notice of Admission) processes

   

• Final claim submission

   

• Rebills, adjustments, and corrections

   
• Deliver

  denial management training

  , including: 
• Root cause analysis 
• Appeals submission 
• Timely follow-up strategies 
• Preventative action education 
• 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 on: 

• Kinnser (WellSky)

   

• Axxess

   

• Devero

   

• Homecare Homebase (HCHB)

   

• AlayaCare

   
• 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: 
• Completion status 
• Proficiency levels 
• Accuracy in billing post-training 
• Monitor

  KPIs

  (e.g., first-pass claim acceptance rate, reduction in denials, speed of claim resolution) 
• Conduct

  weekly audits

  of trained team members’ work for the first 90 days to ensure process adherence 
• Collaborate with QA team to implement error feedback loops 

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 

Technical Skills:

• Proficient in

  RCM platforms

  : Kinnser, Axxess, Devero, HCHB, AlayaCare 
• Experience with payer portals:

  Availity, NaviNet, UHC portal, Medicare DDE, TMHP (Texas Medicaid), etc.

   
• Strong knowledge of

  HIPAA

  ,

  CMS billing rules

  , and

  payer-specific claim regulations

   

Soft Skills:

• Strong interpersonal and communication skills 
• High attention to detail and accuracy 
• Ability to break down complex processes into teachable steps 
• Strong documentation and presentation skills