Membership Accounting Trainer

Moda Health•Portland, OR

6d•Remote

About The Position

Moda Health is seeking a Membership Accounting Trainer to provide training, develop, and maintain documentation for Membership Accounting. This role involves retraining established specialists and providing ongoing training on new procedures and regulations. This is a full-time, Work-From-Home position with a pay range of $23.34 - $26.26 hourly, depending on qualifications. Moda Health, founded in 1955, is committed to building a better future for healthcare by offering outstanding coverage, compassionate support, and comprehensive benefits. They value diversity and inclusion in the workplace.

Requirements

High School diploma or equivalent required.
1-2 years training experience in a health insurance environment, preferably in a Membership Accounting role (billing, eligibility & reconciliation) department preferred.
Ability to instruct, motivate, and direct individuals at various skill levels, face to face and in the classroom environment.
Demonstrate strong, effective, and diplomatic interpersonal skills with employees of all levels and participate effectively as a team player.
Demonstrate analytic skills in identifying technical needs and implementing an effective course of action.
Demonstrate training skills both in a small group and large group setting with excellent presentation skills.
Knowledge of Word, Excel, and ability to navigate web-based programs.
Excellent reading, verbal, and written communication skills, and the ability to interact professionally, patiently, and courteously with others.
Good analytical, problem solving, decision making, and organizational, and detail-oriented skills with ability to shift priorities.
Good organizational ability to work under pressure, to handle a variety of functions and meet deadlines.
Ability to come to work on time on a daily basis.
Maintain attendance above company standards.
Maintain confidentiality and project a professional presence and appearance.
Ability to read and interpret policy contracts and incorporate language into UPM’s.
Ability to understand State and Federal legislation affecting eligibility and billing administration (CMS, FFM, CCO/DCO, etc.) over multiple states.
Ability to take a concept and independently develop and create a training plan, workflows, and procedures that can be understood by trainees of all skill and experience levels.

Nice To Haves

1-2 years training experience in a health insurance environment, preferably in a Membership Accounting role (billing, eligibility & reconciliation) department preferred.

Responsibilities

Responsible for department product (Medicare, Medicaid, Individual, Group and BHS) training for new hires, ongoing refresher training and annual training.
Develops courses and modules for use in the training of all levels of Membership Accounting Specialists, including the development and updating of course content and training materials.
Coordinates to ensure consistency throughout the company.
Monitors performance expectations and results for new hires, provides coaching when necessary and facilitates weekly 1:1 meetings.
Develops and implements presentations in a clear, user-friendly manner and accommodates various adult learning styles.
Conducts end-of-course evaluations and action planning.
Creates and updates documentation, department procedures, and resource materials as needed or necessary.
Advises the Supervisor of any personnel issues, utilizing proper judgment in assessing any necessary action to be taken.
Assists in the planning, organizing, and directing the activities and workflow of the department.
Participates in or manages projects as assigned.
Fosters an atmosphere of team spirit and portrays an outgoing and positive attitude with peers, Moda and BHS Leadership, Customers and/or trainees at all times.
Collaborates with other departments to identify training needs, coordinates and implements classes when appropriate.
Responsible for ensuring department-specific HPMS, CCO, FFM, or any State and/or Federal information is reviewed, discussed, documented, implemented, audited, and trained based on the guidance.
Responsible for ensuring all Medicare, Medicaid, FFM, BHS, Group, etc. related Policies and Procedures are accurate, up-to-date, and reviewed, at minimum, annually.
Interprets contracts, new regulations, CMS memo's, COBRA rules, etc. and determines actions required.
Recommends procedures for the department and writes UPM's.