Eligibility & Benefits Training Specialist

CF Outsourcing Solutions; Quezon City; On-site; PHP 420,000 - 620,000; Full time

Job summary

CF Outsourcing Solutions is seeking an Eligibility & Benefits Trainer to develop, deliver, and continuously improve training programs for Eligibility & Benefits Representatives and related healthcare support teams. You will ensure staff have the knowledge and skills to verify patient insurance coverage, determine benefits, and comply with payer guidelines.

Collaborating with operations leaders, quality teams, and SMEs, you will design modules, coach new hires, monitor performance, and ensure

Qualifications

• Bachelor's degree in healthcare administration, business, education, or related field.
• 2–3 years in Eligibility & Benefits Verification or related Healthcare Revenue Cycle Management.
• At least 1 year in training, coaching, or team leadership preferred.

Responsibilities

• Deliver 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.
• Identify knowledge gaps and create targeted learning interventions.
• Standardize training content to ensure consistency across teams.
• Conduct nesting support and side-by-side coaching sessions for newly trained employees.
• Monitor trainee progress and provide timely feedback.
• Partner with Team Leaders and Operations Managers to address performance gaps.
• Recommend coaching plans and skill development activities based on performance trends.
• Ensure all training content aligns with company policies, HIPAA regulations, and healthcare industry standards.
• Work closely with Quality Assurance teams to identify recurring errors and implement corrective training.
• Track training effectiveness through assessments, audits, and performance metrics.
• Maintain accurate training documentation and attendance records.
• Collaborate with Operations, Quality, Workforce Management, and Client Services teams to identify training needs.
• Participate in process improvement initiatives and knowledge management projects.
• Support client transitions, process updates, and implementation of new services.

Education

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

Job description

CF Outsourcing Solutions is seeking an Eligibility & Benefits Trainer to develop, deliver, and continuously improve training programs for Eligibility & Benefits Representatives and related healthcare support teams. You will ensure staff have the knowledge and skills to verify patient insurance coverage, determine benefits, and comply with payer guidelines.

Collaborating with operations leaders, quality teams, and SMEs, you will design modules, coach new hires, monitor performance, and ensure