Membership Accounting Trainer
Membership Accounting Trainer
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Job Description
Lets do great things together
About Moda
Founded in Oregon in 1955 Moda is proud to be a company of real people committed to quality. Today like then were focused on building a better future for healthcare. That starts by offering outstanding coverage to our members compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Lets be better together.
Position Summary
Provides training develops and maintains documentation for Membership Accounting. Retrains established Membership Accounting specialists when needed and provides ongoing training to Membership Accounting specialists on new procedures and regulations. This is a full-time hybrid position based in Portland Oregon.
Pay Range
$22.88 - $25.74 hourly DOE.
*Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range.
Please fill out an application on our company page linked below to be considered for this position
- Dental Pharmacy and Vision Coverage
- 401K
- FSA
- PTO andPaid Holidays
- High School diploma or equivalent required.
- 1-2 years training experience in a health insurance environment preferably in a Membership Accounting role (billing eligibility & reconciliation) department preferred.
- Ability to instruct motivate and direct individuals at various skill levels face to face and in the classroom environment.
- Demonstrate strong effective and diplomatic interpersonal skills with employees of all levels and participate effectively as a team player.
- Demonstrate analytic skills in identifying technical needs and implementing an effective course of action.
- Demonstrate training skills both in a small group and large group setting with excellent presentation skills.
- Knowledge of Word Excel and ability to navigate web-based programs.
- Excellent reading verbal and written communication skills and the ability to interact professionally patiently and courteously with others.
- Good analytical problem solving decision making and organizational and detail-oriented skills with ability to shift priorities.
- Good organizational ability to work under pressure to handle a variety of functions and meet deadlines.
- Ability to come to work on time on a daily basis. Maintain attendance above company standards.
- Maintain confidentiality and project a professional presence and appearance.
- Ability to read and interpret policy contracts and incorporate language in to UPMs.
- Ability to understand State and Federal legislation affecting eligibility and billing administration (CMS FFM CCO/DCO etc.) over multiple states.
- Ability to take a concept and independently develop and create a training plan workflows and procedures that can be understood by trainees of all skill and experience levels.
- Responsible for department product (Medicare Medicaid Individual Group and BHS) training for new hires ongoing refresher training an annual training.
- Develops courses and modules for use in the training of all levels of Membership Accounting Specialists. This includes the development and updating of course content and training materials. Coordinates to ensure consistency throughout the company.
- Monitor performance expectations and results for new hires provide coaching when necessary and facilitate weekly 1:1 meetings.
- Develops and implements presentations in a clear user friendly manner and accommodates various adult learning styles.
- Conducts end of course evaluations and action planning.
- Creates and updates documentation department procedures and resource materials as needed and/or necessary.
- Advises the Supervisor of any personnel issues utilizing proper judgement in assessing any necessary action to be taken.
- Assists in the planning organizing and directing the activities and workflow of the department.
- Participates in or manages projects as assigned.
- Fosters and atmosphere of team spirit and portrays an outgoing and positive attitude with peers Moda and BHS Leadership Customers and/or trainees at all times.
- Collaborates with other departments to identify training needs coordinates and implements classes when appropriate.
- Responsible for ensuring department specific HPMS CCO FFM or any State and/or Federal information is reviewed discussed documented implemented audited and trained based on the guidance.
- Responsible for ensuring all Medicare Medicaid FFM BHS Group etc. related Policies and Procedures are accurate up to date and reviewed at minimum annually.
- Interpret contracts new regulations CMS memos COBRA rules etc. and determine actions required. Recommend procedures for department write UPMs.
Required Skills Experience & Education:
Primary Functions:
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race religion color age sex sexual orientation national origin marital status disability veteran status or any other status protected by law. This is applicable to all terms and conditions of employment including recruiting hiring placement promotion termination layoff recall transfer leaves of absences compensation and training.
For more information regarding accommodations please direct your questions to Kristy Nehler & Danielle Baker via our email.
Employment Type
Full-Time
