Claims Educator

Texas Children's Hospital•Houston, TX

11d

About The Position

We’re looking for a Claims Educator, someone who’s ready to grow with our company. In this position you will lead in the design, development, and implementation of training programs for new and existing employees, to enhance the competency, performance and professional development of the Claims Administration team. This position is critical in the development and ongoing accuracy of claims processing to ensure accurate reimbursement to Providers. Think you’ve got what it takes?

Requirements

H.S. Diploma or GED Required
4 years previous training experience in an adult training environment required
A bachelor's degree may substitute for two (2) years of the required experience

Responsibilities

Develops and coordinates the Claims Administration Training Program.
Designs and Develops Training manual and desktop procedures to encompass the major areas of Claims Administration including data entry, mailroom and claims examination. Conducts training program to provide an effective and interactive learning environment to achieve departmental goals and objectives utilizing innovative, professional communication methods.
Assures that staff completes Health Plan and departmental orientation upon employment as monitored by training records. Documents competency scores for Pre & Post Assessments to ensure comprehension of material presented to employees.
Provides staff with ongoing job-specific training programs, in services and continuing education opportunities.
Develops and completes measurable job-specific training as identified by statistical reports and audits.
Collects and evaluates feedback on training program initiatives and makes recommendations for improvement.
Completes audits, consistent with industry standards, of each claim examiner/specialist trainees' completed throughout the course training and within the nesting period.
Completes audits of post ad-hoc or refresher training claim processing.
Supports the development and action plan follow-up for individuals as required.
Provides Information System Application Expertise.