Job Information

Providence Training Coordinator – Membership Accounting (Remote: SW WA & OR) in Beaverton, Oregon

Description

Providence is calling a T raining Coordinator – Membership Accounting who will:

  • Look for improvements & efficiency opportunities within operations in one or more of the areas of claims, customer service and membership accounting

  • Develop and deliver technical and soft skill training, conduct auditing in claims, customer service and/or membership accounting

  • Provide feedback on performance to service specialists

  • Be responsible for revision and maintenance of operations documentation and reference materials

  • Coordinate the writing, editing, production and publishing of documentation with all electronic interfaces

We welcome 100% remote work for residents living in SW Washington and Oregon.

Primary Responsibilities:

  • Research training topics, develop lesson plans, and write all training curriculum aimed at achieving goals and objectives. Update materials as procedures and policies change so that information presented is accurate in one or more of the areas of Claims, Customer Service and/or Membership Accounting

  • Conduct training sessions utilizing workbooks or other written material. Use a supportive teaching style that is effective for the different learning styles of all staff in one or more of the areas of Claims, Customer Service and/ or Membership Accounting

  • Develop course assessments and evaluations to continually improve sessions to ensure that trainees are adequately prepared to perform basic job duties and build on team cohesiveness and interpersonal relationships, in one or more of the areas of Claims, Customer Service and/or Membership Accounting

  • Provide constructive feedback on trainees; work on continuous employee development and growth opportunities with Managers

  • Develop reference material such as procedures, policy documentation, and other supportive material

  • Provide recommendations to Managers and employees to maintain high quality performance

  • Develop close working relationships with Operation Teams, Managers and other departments to identify training needs and develop ongoing training curriculum with current accepted procedures and practices

  • Assist Service Specialists with resolving daily problems with member situations and answering questions

  • Contribute toward team cohesiveness and efficiency; participate as a 'team player', supporting co-workers while setting an example of high personal and professional conduct for co-workers and others

  • Prioritize and create training calendar based on team requests

  • Provide recommendations and observation summaries to the Team Managers on opportunities identified during the service observation/claims auditing processes

  • Coordinate with Health Plan departments outside Operations to ensure that new and existing information is incorporated into the Operations documentation

  • Prioritize and process special projects, reprocessing projects, non-par provider appeals, and EDI

  • Conduct service observations of customer service calls, provide feedback on performance, and coach to excellence

Additional Responsibilities:

  • Participate in cross functional teams and departments for continuous process improvement

  • Conducts random audits of customer service phone calls; monitors compliance with regulatory requirements; and maintains statistical audit reports

Required qualifications for this position include:

  • Bachelor's Degree -OR- a combination of equivalent education and experience

  • 2 years relevant health insurance operations knowledge and or experience (Ex. Membership Accounting, Call Center, Customer Service, Claims, Pharmacy, Clinical, Insurance Billing, Benefit Verification)

Preferred qualifications for this position include:

  • Instructional Design technique is a plus

  • Experience training adult learners

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Requsition ID: 119514
Company: Providence Jobs
Job Category: Member Services Enrollment & Billing
Job Function: Health Plans Services
Schedule: Full time
Shift: Day
Career Track: Admin Support
Department: 5018 OPS MA PUBLIC PROGRAMS OR REGION
Address: OR Beaverton 3601 SW Murray Blvd

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.