Were looking for a Claims Educator someone whos ready to grow with our this position you will lead in the design development and implementation of training programs for new and existing employees to enhance the competency performance and professional development of the Claims Administration team. This position is critical in the development and ongoing accuracy of claims processing to ensure accurate reimbursement to Providers.
Think youve got what it takes
Job Duties & Responsibilities
Develops and coordinates the Claims Administration Training Program.
Designs and Develops Training manual and desktop procedures to encompass the major areas of Claims Administration including data entry mailroom and claims examination. Conducts training program to provide an effective and interactive learning environment to achieve departmental goals and objectives utilizing innovative professional communication methods.
Assures that staff completes Health Plan and departmental orientation upon employment as monitored by training records. Documents competency scores for Pre & Post Assessments to ensure comprehension of material presented to employees.
Provides staff with ongoing job-specific training programs in services and continuing education opportunities.
Develops and completes measurable job-specific training as identified by statistical reports and audits.
Collects and evaluates feedback on training program initiatives and makes recommendations for improvement.
Completes audits consistent with industry standards of each claim examiner/specialist trainees completed throughout the course training and within the nesting period.
Completes audits of post ad-hoc or refresher training claim processing.
Supports the development and action plan follow-up for individuals as required.
Provides Information System Application Expertise.
Skills & Requirements
H.S. Diploma or GED Required
4 years previous training experience in an adult training environment required
A bachelors degree may substitute for two (2) years of the required experience
Required Experience:
IC
Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades suc ... View more