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SalaryCLAIMS TRAINER
POSITION SUMMARY
Will be primary claims department trainer. In this role you will use independent judgment and knowledge to determine training needs and perform all aspects of training for the Claim Department. Training will include policies, procedures, and QicLink system training for new hires as well as experienced staff.
ESSENTIAL FUNCTIONS:
- Work closely with the Audit Team and department leadership to determine ongoing training needs.
- Assist with auditing on trainees.
- Develop training materials for all training classes.
- Perform all new hire training according to schedule and topic list.
- Assist with interviewing claim department candidates.
- Process claims in the QicLink System when necessary.
- Assist with the review of all Claim Department reports to find training opportunities.
- Attend continuing education classes as required, including but not limited to HIPAA training.
EDUCATION:
- High School Diploma or equivalent required. Some College Preferred.
EXPERIENCE & SKILLS:
- Applicants must have a minimum of 5 years of Medical Claims analysis experience required.
- Applicants must have 3 years prior Third-Party Administrator (TPA) claims processing experience required.
- Prior training experience preferred but not required.
- QicLink claims processing system experience required.
- All applicants must have strong analytical skills and knowledge of computer systems and CPT and ICD-10 coding terminology.
- Continuing education in all areas affecting group health and welfare plans is required.
POSITION COMPETENCIES:
- Job Knowledge
- Time Management
- Accountability
- Communication
- Initiative
- Customer Focus
PHYSICAL DEMANDS:
- This is an office environment requiring extended sitting and computer work
WORK ENVIRONMENT:
- Remote
The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
