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CE
Hybrid Healthcare Claims Training Specialist
Posted last month
About the role
- Design and deliver structured initial and ongoing training programs for the claims team
- Facilitate the onboarding process for new hires, ensuring tools, resources, and training to succeed
- Serve as the subject matter expert (SME) in claims adjudication processes, system usage (Javelina), and benefit plan interpretation
- Facilitate training sessions in-person and virtually, using a variety of instructional methods
- Create and update training materials, including manuals, job aids, and process documentation, including release impacts to claims adjudication
- Monitor trainee progress through testing, audits, and one-on-one coaching
- Collaborate with leadership and Quality Assurance to address performance gaps with targeted retraining
- Support implementation of client-specific plan changes, system upgrades, and regulatory updates
- Maintain accurate records of training completion and employee development
- Stay up to date on industry trends, best practice, and technological advancements to enhance training techniques
- Help build learning modules in LMS regarding Claims
- Aid in special projects and other duties as assigned
Requirements
- Associate or bachelor’s degree in healthcare administration, Education, Training or a related field; or Certified Professional in Learning and Performance (CPLP), Associate Professional in Talent Development (APTD) or Professional in Talent Development (CPTD)
- 2-3+ years of proven corporate training experience, preferably in the health care industry
- Strong problem-solving abilities, with a focus on finding solutions to training challenges and helping team members improve
- Health care claims and billing experience is a plus
- Hands-on experience using the Javelina claims platform is a plus
- Familiarity with the concepts in healthcare administration, such as TPA’s, Self-Funding, Stop Loss, healthcare claim cycling and coding
- Experience with Learning Management Systems (LMS), Microsoft Office Suite, and other relevant training software or platforms
- Comfortable presenting in front of both small and large groups
- Clear and professional verbal and written communication
- Ability to explain complex concepts in a digestible and engaging way
- Ability to manage multiple training projects while maintaining accuracy and attention to detail
Benefits
- Fantastic medical, dental, and vision insurance
- Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible
- Company provided Basic Life and AD&D
- Company paid Short-Term and Long-Term Disability
- Flexible Spending Accounts
- 401(k) Retirement Plan with up to a 6% employer-match
- WOW! (100% fully vested after 3 years)
- 10+ paid holidays
- Generous paid vacation and sick time
- Annual Volunteer Paid Day
- Annual Tuition Reimbursement
- Annual Health and Wellness Reimbursement
- Lots of fun company events
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