Revenue Cycle Training Specialist — Hospital Claims & Denials

McLeod Health; Florence (SC); On-site; USD 40,000 - 55,000; Full time

Job summary

McLeod Health in Florence, SC is seeking a Training Specialist for the Revenue Cycle to lead new hire and ongoing training across claims, eligibility, authorization, pre-service hospital functions, follow-up/denials, customer service, and cash posting. Retraining initiatives will be driven by process-improvement opportunities identified within the teams.

The role requires strong knowledge of healthcare insurance, excellent communication, and the ability to work independently with effective time

Qualifications

• At least 2 years of direct experience in hospital claims, follow up, denials management or previous training.
• Strong knowledge of healthcare insurance (Medicare, Medicaid, commercial plans).
• Excellent verbal and written communication skills.
• Strong analytical and problem-solving abilities.
• Ability to work independently and manage time effectively.

Responsibilities

• Responsible for new hire and on going training for the Mcleod Revenue Cycle including but not limited to Claims, Insurance eligibility and Authorization, Pre-Service Hospital functions, Insurance-Follow Up/Denials, Customer Service, and Cash Posting.
• Retraining efforts of all staff as process improvement opportunities are identified and cascaded to the teams.
• Professionally and effectively introduces training materials.
• Proactively measures training efforts to ensure the teams are progressing, as desired, and responds accordingly when additional training is required to ensure team member is properly equipped to perform said job responsibilities.
• Performs audits post training to ensure employee’s complete knowledge and understanding of departmental and role specific duties
• Other duties as assigned.

Skills

Claims knowledge

Training experience

Communication skills

Analytical skills

Time management

Education

High School Diploma or GED

Job description

McLeod Health in Florence, SC is seeking a Training Specialist for the Revenue Cycle to lead new hire and ongoing training across claims, eligibility, authorization, pre-service hospital functions, follow-up/denials, customer service, and cash posting. Retraining initiatives will be driven by process-improvement opportunities identified within the teams.

The role requires strong knowledge of healthcare insurance, excellent communication, and the ability to work independently with effective time