Position Summary
The Biling and Patient Access Trainer is responsible for developing, delivering, and maintaining high-quality training programs to ensure billing and customer service staff possess the knowledge and skills necessary for accurate, compliant, and efficient billing practices. This role combines expertise in medical billing and coding with strong instructional design and coaching skills to drive performance and compliance across the organization.
Education & Experience
- Required: High school diploma or equivalent.
- Preferred: Associate or Bachelor’s degree in Healthcare Administration, Business, or related field.
- Certifications: CPC, CCA, or equivalent coding certification preferred.
- Experience: Minimum of 3–5 years of medical billing experience, including at least 1 year in a training or lead role.
Key Responsibilities
1. Training Development & Delivery
- Design, implement, and facilitate training sessions for front-office and billing personnel (both in-person and virtual).
- Develop, maintain, and update training manuals, job aids, and e-learning materials.
- Conduct onboarding sessions for new hires and refresher courses for existing staff.
- Tailor content to various learning levels and roles within the billing and customer service team.
2. Quality Assurance & Auditing
- Conduct periodic audits to assess billing accuracy, coding compliance, and adherence to payer rules.
- Identify recurring billing errors or denial trends and create targeted training to address root causes.
- Collaborate with QA and Compliance teams to ensure continuous improvement and regulatory adherence.
3. Policy & Procedure Support
- Communicate updates on reimbursement rules, coding guidelines, and payer regulations (Medicare, Medicaid, commercial insurers).
- Support the development and rollout of billing-related policies and standard operating procedures.
4. Performance Monitoring
- Track and document training completion, assess post-training performance, and generate progress reports.
- Provide feedback and coaching to staff and recommend process or system improvements based on observed inefficiencies.
5. Cross-Department Collaboration
- Partner with Operations, Compliance, and IT to align training initiatives with organizational goals.
- Serve as a subject matter expert (SME) for billing-related inquiries and escalations.
6. Continuous Education
- Stay current with payer updates, CMS changes, and industry best practices.
- Participate in professional conferences, workshops, or webinars and share key learnings with the team.
Critical Skills & Qualifications
1. Medical Billing & Coding Expertise
- Strong knowledge of CPT, ICD-10, and HCPCS coding standards.
- Familiarity with payer requirements for Medicare, Medicaid, and commercial insurance.
2. Training & Instructional Skills
- Proven ability to design and deliver effective training programs for diverse learning audiences.
- Skilled in simplifying complex billing concepts into practical, easy-to-understand content.
- Experience developing instructional materials, assessments, and training documentation.
3. Analytical & Problem-Solving Abilities
- Skilled at identifying trends in billing errors or denials and creating data-driven training responses.
4. Communication & Interpersonal Skills
- Clear, patient communicator able to engage staff at all organizational levels.
- Demonstrated collaborative, supportive, and coaching-oriented approach.
Department: Billing Operations
Reports to: Billing Manager
FLSA Status: Exempt