Senior Trainer Business Training (Payer Services)

We are seeking a dedicated and experienced Senior Trainer specializing in Payer Services to join our dynamic team in Chennai. The ideal candidate will be responsible for creating and delivering impactful training content, onboarding new hires, and ensuring all team members are well-versed in compliance and process improvement initiatives. This role is crucial for maintaining high standards of knowledge and operational excellence within our Payer Services operations.

Key Responsibilities

• Develop comprehensive training materials covering general concepts of Payer Services with a focus on preprocess training.
• Manage the onboarding process, including system collection, OIG, whitelisting URLs, and ARC orientation training.
• Conduct client-specific orientation sessions to ensure new hires are fully integrated into company culture and processes.
• Deliver compliance courses for all employees to ensure adherence to regulatory requirements.
• Prepare training content for Maintenance of Certification (MOC) and train client partners, ensuring successful assessment closure.
• Provide client-specific process training for new hires, ensuring they understand all relevant procedures and policies.
• Offer on-the-job training (OJT) support to new hires, facilitating their transition into their roles.
• Develop and conduct weekly training sessions based on new updates and error trends.
• Conduct weekly refresher courses, coaching, and feedback sessions to maintain high performance levels.
• Maintain extensive knowledge of all processes and sub-processes within Payer Services.
• Conduct random production audits to ensure adherence to standards and identify areas for improvement.
• Coordinate process calibration sessions between Operations and Service Quality teams.
• Lead initiatives aimed at improving processes and enhancing service quality.

Job Requirements

• Strong understanding of compliance requirements and payer services processes.
• Exceptional communication and presentation skills.
• Ability to conduct engaging and effective training sessions.
• Strong organizational skills and attention to detail.
• Ability to work collaboratively with different teams and stakeholders.
• A proactive approach to problem-solving and process improvement.

Qualifications

• Minimum 6 years of work experience.
• In-depth knowledge of Revenue Cycle Management (RCM).
• Knowledge of Payer workflows like Enrollment, Claims Adjudication, Appeals and Grievances, Payment Integrity Authorization.
• Expertise on Payer terminologies (related to Medicare Advantage programs) and concepts like Credentialing, Authorization, Out-of-network, In-Network concepts, and Subrogation.