Eligibility And Benefits Trainer

CF Solutions Philippines Inc.; Quezon City; On-site; PHP 279,000 - 446,000; Full time

Job summary

CF Solutions Philippines Inc. is seeking an Eligibility & Benefits Trainer to develop and deliver training programs for staff involved in eligibility verification, benefits investigation, and related healthcare support roles.

The role emphasizes maintaining compliance with HIPAA and payer guidelines while collaborating with operations and quality teams to raise performance and efficiency. Key responsibilities include delivering new hire and refresher training, designing materials, coaching new

Qualifications

• Bachelor's degree preferred in a relevant field
• 2–3 years of experience in Eligibility & Benefits Verification, Insurance Verification, Prior Authorization, or Healthcare Revenue Cycle Management
• At least 1 year of training, coaching, mentoring, or team leadership experience preferred
• Experience with U.S. healthcare payer guidelines and eligibility verification processes

Responsibilities

• Deliver new hire and refresher training for Eligibility & Benefits staff
• Lead instructor‑led, virtual, and hands‑on learning sessions
• Train on insurance verification, benefits investigation, prior authorization, payer guidelines, and healthcare terminology
• Ensure staff understand client workflows, policies, and performance expectations
• Use diverse training methods to accommodate different learning styles
• Create and update training materials, guides, and assessments
• Develop modules based on operational changes and quality findings
• Provide nesting support and side‑by‑side coaching for new staff
• Monitor progress and provide timely feedback
• Ensure content aligns with HIPAA and healthcare standards

Skills

Training delivery

Coaching/mentoring

Healthcare administration

HIPAA compliance

Curriculum development

Education

Bachelor's degree in Healthcare Administration, Business Administration, Education, or related field

Job description

About the role

The Eligibility & Benefits Trainer is responsible for developing, delivering, and continuously improving training programs for Eligibility & Benefits Representatives, Insurance Verification Specialists, and related healthcare support teams. This role ensures employees have the knowledge, skills, and competencies needed to accurately verify patient insurance coverage, determine benefits, interpret payer guidelines, and maintain compliance with client and regulatory requirements. The trainer will collaborate with operations leaders, quality teams, and subject matter experts to drive employee performance and operational excellence.

Key responsibilities

• Conduct new hire training and ongoing refresher training for Eligibility & Benefits staff
• Facilitate instructor-led, virtual, and hands‑on learning sessions
• Deliver training on insurance verification processes, benefits investigation, prior authorization requirements, payer guidelines, and healthcare terminology
• Ensure participants understand client‑specific workflows, policies, and performance expectations
• Utilize various training methodologies to accommodate different learning styles
• Design, update, and maintain training materials, process guides, job aids, presentations, and assessments
• Develop training modules based on operational changes, payer updates, client requirements, and quality findings
• Conduct nesting support and side‑by‑side coaching sessions for newly trained employees
• Monitor trainee progress and provide timely feedback
• Ensure all training content aligns with company policies, HIPAA regulations, and healthcare industry standards

About you

• Bachelor's degree in Healthcare Administration, Business Administration, Education, or a related field preferred
• Minimum 2-3 years of experience in Eligibility & Benefits Verification, Insurance Verification, Prior Authorization, or Healthcare Revenue Cycle Management
• Minimum 1 year of training, coaching, mentoring, or team leadership experience preferred
• Experience working with U.S. healthcare insurance plans, payers, and eligibility verification processes