Trainer - Claims Adjudication

Job Description

Responsibilities: Conducting multiple trainings for new hires and managed nesting along with certification process. Experience in claims adjudication and payment integrity : Seeking individuals with expertise in claims adjudication and payment integrity, including overpayment and underpayment scenarios. Maintain the training effectiveness above the required threshold by holding strong governance process in training Ability to read through various standard operating procedures and communicate the extracts to the trainees clearly Identify gaps between internal process and customers’ expectations to help business produce the desired outcome Create content / training material for effective training Revamp the training materials to suit the need of current business and easy understanding / knowledge transfer to trainees Liaison with QA to calibrate process knowledge Conduct workshops for project team members on recent update and US healthcare industry trends Perform user acceptance testing for any new process rollouts / automation in the program Provides refresher training for bottom quartile Support the team by performing floor trouble shooting to ensure all relevant queries are tracked and answered appropriately Periodic knowledge calibration with client Qualification & Experience Critical: Graduation in any discipline Willingness to work in day/night shift 3+ years of experience in US Healthcare & Claims adjudication with 2 years of experience in Training domain Desirable: Proficiency in MS Office (PowerPoint, Excel & Word) Competency in QC tools Competency to understand processing guidelines Excellent Communication Skill (Oral & Written) ⚠️ Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses. Show more Show less