Revenue Cycle Trainer

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

10d

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 company’s mission and goals. Work must comply with established policies and procedures, regulatory and accreditation requirements, and applicable professional standards. The role reviews processes and develops and maintains departmental SOPs; audits quality and performance; prepares reports and recommends coaching, action plans, and re-education. It designs and delivers competency-based training for new and existing staff, updates training materials, and serves as a subject matter expert on revenue cycle workflows, payer requirements, billing practices, regulatory standards, and system functionality. The position also partners across teams to identify error causes and improve workflows, and completes administrative and operational support tasks. It requires critical thinking, adaptability, clear communication, and a strong focus on 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 using strong verbal and written skills.
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, with an emphasis on 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, document findings, and 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, including job aids, and SOPs based on system changes and audit and performance trends.
Deliver training to new hires and existing staff in classroom, virtual, and alternative formats, adapting to different learning, communication, and work styles.
Partner with leaders and cross-departmental teams to identify root causes of errors, recommend workflow improvements, and implement efficiencies that reduce rework and improve accuracy.
Serve as a subject matter expert and resource for revenue cycle workflows, payer requirements, regulatory standards, billing practices, and system functionality.
Complete and oversee administrative and operational tasks, including escalations, documentation, account review and reconciliation, reporting, ad hoc projects, and other assigned tasks.
Take ownership of internal and external customer issues, resolve concerns promptly, and communicate clearly and concisely.
Maintain professional and supportive relationships across the organization and demonstrate critical thinking, innovation, adaptability, and the ability to lead change.