Healthcare Revenue Cycle Training Specialist

Covenant Health; Knoxville (TN); On-site; USD 55,000 - 75,000; Full time

Job summary

Covenant Health in Knoxville seeks a Claims Management Training Coordinator in the CMG Business Office to lead onboarding, classroom and floor training, and ongoing staff development.

You will coordinate with leadership to create training materials, assess new employee performance, and ensure compliance with HIPAA, TennCare and Medicare guidelines, while supporting quality improvement initiatives.

Qualifications

• Degree preferred in HIM, Coding, Finance, Business or Healthcare.
• 3+ years’ experience in healthcare revenue cycle (i.e., medical billing, insurance/precert verification, registration, HIM, coding and billing, claims management/insurance follow up or appeals etc.)

Responsibilities

• Assists new hires through transfer/new employee orientation process, ensuring introduction to Covenant Health and departmental policies and procedures; and ensures completion of each required education/training module.
• Coordinates with Revenue Integrity Training Specialist and department leadership to develop and maintain training manuals and training modules for classroom learning; provides floor training for new employees following completion of onboarding and training classes.
• Maintains accurate and up to date checklist of each new employee’s progress per department standards at regular intervals and provides re-education when necessary.
• Reports new employee progress to leadership at regular intervals.
• Assists leadership in performing department productivity and quality audits and implements performance improvement initiatives where necessary.
• Coordinates with Recovery financial analyst(s) regarding contract rate changes and assists with educating staff; updates training resources as needed.
• Demonstrates appropriate time-management in completion of varying tasks.
• Demonstrates knowledge of State and Federal regulations, HIPAA guidelines, TennCare and Medicare guidelines, and other third-party payer requirements, assuring departmental compliance.
• Recognizes situations which necessitate supervision and guidance and seeks appropriate resources.
• Demonstrates ability to understand payer billing regulations and claims policies.
• Demonstrates problem-solving and critical thinking skills in analyzing accounts to determine root-cause and best course of action to resolve account issues.
• Communicates effectively and professionally with patients/public, coworkers, physicians, facilities, agencies, and other facility personnel using verbal, nonverbal and written communication skills.
• Completes required annual education assignments on time.
• Works towards and assist employees in working towards, achieving department/system-wide goals and objectives; participates in quality improvement initiatives as requested.
• Demonstrates promptness in reporting for and completing work, ensuring timely and accurate follow through on assigned tasks.
• Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives and participates in quality improvement initiatives as requested.
• Performs other duties as assigned.

Skills

Training coordination

Onboarding

Quality assessment

HIPAA compliance

Communication skills

Education

HIM

Coding

Finance

Business

Healthcare

Job description

Covenant Health in Knoxville seeks a Claims Management Training Coordinator in the CMG Business Office to lead onboarding, classroom and floor training, and ongoing staff development.

You will coordinate with leadership to create training materials, assess new employee performance, and ensure compliance with HIPAA, TennCare and Medicare guidelines, while supporting quality improvement initiatives.