Responsibilities

The Trainer will work collaboratively with claims leaders & staff to foster and sustain training program associated with Commercial and Medicare Advantage claims adjudication procedures, address the training needs for Claims Quality Support, and COB/Recovery units.  Develop and utilize approved training courses, materials, departmental policies, and procedures for successful outcome. Schedule training, utilize audit results to determine training needs.  Purpose of this position is to provide training to newly hired and existing claims analyst. This position will also monitoring/provide feedback on quality results.  Provide feedback and trend data to claims management as well as document/update Policies & Procedures.

 

Job Title: Claims Trainer

Location: Pearland Administrative Office

Department: Claims

Job Type: Full Time 

Salary Range: $59,108 - $73,025 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)

 

Qualifications

Education

Required: High School diploma or GED from an accredited program. 

Preferred: College Degree or 3-5 years’ experience with claims/training knowledge.

Experience

Required: Previous training experience in Healthcare Claims Operation

 

Experience with Facility and Professional Claims Adjudication 

 

Knowledge of Medicare Claims Processing 

 

Previous experience performing quality monitoring and feedback

Preferred: 0-3 years Healthcare knowledge

 

3-5 years previous experience training claims analyst

 

Experience with innovative training techniques and tools for in person/virtual training

License(s)

Required: N/A

Preferred: N/A

Special Skills

Required: Demonstrate understanding of claims payment procedures

 

Knowledge of claims pricing software

 

Understanding of provider/vendor relationship

 

Understanding of Member benefits

 

Strong communication and interpersonal skills with the ability to effectively listen and communicate complex 

 

information in a clear and concise manner.

 

Ability to communicate across all internal partners to identify and assist in development of enhanced 

 

processes.

 

Strong organizational and time management skills

Preferred: N/A

Other 

Required: N/A

Preferred: N/A

 

Working Environment: Office

 

About Us

Start your career journey and become a part of a community of renowned Healthcare professionals.  Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties.  Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner.  Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares. 

 

Why Kelsey-Seybold Clinic?

Medical, Vision, and Dental Tuition Reimbursement Company Matching 401K Employee Reward and Recognition Program Paid time off for vacation, sick, and holidays Employee Assistance Program Continuing Medical Education allowance