Claims Management Training Coordinator, CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region’s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer.
Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times.
Position is responsible for new hire onboarding in classroom/on floor training, quality assessments and continued development of new employees. Position coordinates with department leadership to assist new employees through orientation process, implement on the floor training with new employees upon completion of department training classes/modules, assess new employee quality and development at regular intervals and provide continued feedback for ongoing training and performance improvement.
Responsibilities Assists new hires through transfer/new employee orientation process, ensuring introduction to and familiarity with Covenant Health and departmental policies and procedures; and ensures completion of each required education/training module. Coordinates with Revenue Integrity Training Specialist and department leadership to develop and maintain training manuals and training modules for classroom learning; provides floor training for new employees following completion of onboarding and training classes.
Maintains accurate and up to date checklist of each new employee’s progress per department standards at regular intervals and provides re-education when necessary. Reports new employee progress to leadership at regular intervals. Assists leadership in performing department productivity and quality audits and implements performance improvement initiatives where necessary.
Coordinates with Recovery financial analyst(s) regarding contract rate changes and assists with educating staff; updates training resources as needed. Demonstrates appropriate time-management in completion of varying tasks. Demonstrates knowledge of State and Federal regulations, HIPAA guidelines, TennCare and Medicare guidelines, and other third-party payer requirements, assuring departmental compliance.
Recognizes situations which necessitate supervision and guidance and seeks appropriate resources. Demonstrates ability to understand payer billing regulations and claims policies. Demonstrates problem-solving and critical thinking skills in analyzing accounts to determine root-cause and best course of action to resolve account issues.
Communicates effectively and professionally with patients/public, coworkers, physicians, facilities, agencies, and other facility personnel using verbal, nonverbal and written communication skills. Completes required annual education assignments on time. Works towards and assist employees in working towards, achieving department/system-wide goals and objectives; participates in quality improvement initiatives as requested.
Demonstrates promptness in reporting for and completing work, ensuring timely and accurate follow through on assigned tasks. Follows policies, procedures, and safety standards. Completes required education assignments annually.
Works toward achieving goals and objectives and participates in quality improvement initiatives as requested. Performs other duties as assigned. Qualifications Minimum
Degree preferred in one of the following areas: HIM, Coding, Finance, Business or Healthcare. Will consider combination of education and experience in absence of degree. Minimum
3 or more years’ experience in healthcare revenue cycle (i.e., medical billing, insurance/precert verification, registration, HIM, coding and billing, claims management/insurance follow up or appeals etc.) Licensure Requirement: None