Revenue Cycle Trainer

Sonora Quest Laboratories / Laboratory Sciences of Arizona•Yakima, WA

About The Position

This position performs revenue cycle training and auditing functions for patient, client, and third-party billing and operations, while supporting departmental key performance indicators and the organization’s mission and goals. The role follows established policies, procedures, regulatory and accreditation requirements, and applicable professional standards. The Revenue Cycle Trainer reviews processes for compliance, creates and reviews departmental SOPs, conducts quality audits, analyzes quality and production performance, and develops coaching and re-education strategies. The role designs and delivers competency-based training, updates training materials, and supports staff across different learning and work styles. It also partners with leaders and cross-departmental teams to identify error causes, improve workflows, and serve as a subject matter expert on revenue cycle processes. Administrative and operational support may include escalations, documentation, account review and reconciliation, reporting, and assigned projects. The position calls for critical thinking, adaptability, clear communication, and strong internal and external customer service.

Requirements

High school diploma or equivalent.
Three years of experience in a healthcare revenue cycle setting or trainer role.
Internal employees must have obtained and continue to maintain Quest ICD10 certification; external candidates must obtain it within six months of the start date and maintain it.
Ability to clearly and efficiently communicate complex issues, with strong verbal and written aptitude.
Working knowledge of billing, insurance, computer systems, and medical billing processes.
Excellent mathematical and probability skills.
Ability to prioritize and complete multiple tasks.
Ability to work independently and accurately with high volumes of data and minimal supervision.
Ability to delegate work and provide constructive feedback and guidance to employees.
Intermediate working knowledge of Microsoft Office Suite, especially Excel.
Excellent communication, comprehension, and organizational skills.
Ability to train multiple employees with different skill levels and knowledge.

Nice To Haves

Additional related education and/or experience.

Responsibilities

Review processes for adherence to departmental policies, SOPs, regulatory requirements, and payer requirements.
Create departmental SOPs based on training and audit findings, and conduct annual and ad hoc reviews.
Perform quality audits, maintain audit completion standards, and track and analyze quality and production performance.
Prepare and distribute performance reports and document findings.
Develop action plans, coaching recommendations, and re-education strategies to improve accuracy and efficiency.
Design, maintain, and implement structured, compliant, competency-based training programs.
Update training materials, job aids, and SOPs in response to system changes and audit and performance trends.
Deliver training to new hires and existing staff through classroom, virtual, and alternative formats.
Partner with leaders and cross-departmental teams to identify root causes of errors, recommend workflow improvements, and implement efficiencies.
Serve as a subject matter expert and resource for revenue cycle workflows, payer requirements, regulatory standards, billing practices, and system functionality.
Complete and oversee department-supporting administrative and operational tasks, including escalations, documentation, account review and reconciliation, reporting, and ad hoc projects.
Provide customer service by taking ownership of issues, resolving concerns promptly, and communicating clearly and concisely.
Maintain professional and supportive relationships across the organization.