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Bill Review Training Coordinator
at Sedgwick CMS in Ohio
Title: Bill Review Training Coordinator
Department: Bill Review
Grade: 007
Reports To: Compliance Manager
FLSA: Exempt
Creation Date: 01/29/2009
Revision Date: 02/19/2009
PRIMARY PURPOSE: To develop Bill Review Colleagues through individual training assistance and mentoring.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
1.Develops Bill Review team through individual training assistance and mentoring with concentrated focus on audit results.
2.Develops and implements an individual mentoring program for new Bill Review colleagues.
3.Directs responses to SBR mailbox questions ensuring accuracy and data integrity.
4.Monitors audit results identifying trends and recommendations for formal training opportunities working directly with the Training Specialist.
5.Ensures workflow manual is documented accurately and the data integrity confirmed working directly with the Training Specialist, Quality and Compliance.
6.Works in conjunction with Training Specialist to prepare and provide formal training session to SBR colleagues.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
1.Performs other duties as assigned.
2.Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
Baccalaureate degree from an accredited college or university preferred.
Experience
Two (2) years of workers compensation and/or bill review experience required with strong concentration in multiple state jurisdictional rules and regulations and complex medical bill processing; in-depth knowledge of medical terminology required; six (6) months training and/or mentoring experience required.
Skills & Knowledge
-Knowledge of industry-specific medical terminology and bill review processes and procedures
-Good oral and written communication, including presentation skills
-PC literate, including Microsoft Office products
-Leadership and motivational skills
-Analytical and interpretive skills
-Strong organizational skills, accuracy and attention to detail
-Strong interpersonal skills
-Ability to multi-task, meet deadlines and function in high volume area
-Ability to work in a team environment
-Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar: http://sedgwickcms.contacthr.com/19778877
Department: Bill Review
Grade: 007
Reports To: Compliance Manager
FLSA: Exempt
Creation Date: 01/29/2009
Revision Date: 02/19/2009
PRIMARY PURPOSE: To develop Bill Review Colleagues through individual training assistance and mentoring.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES
1.Develops Bill Review team through individual training assistance and mentoring with concentrated focus on audit results.
2.Develops and implements an individual mentoring program for new Bill Review colleagues.
3.Directs responses to SBR mailbox questions ensuring accuracy and data integrity.
4.Monitors audit results identifying trends and recommendations for formal training opportunities working directly with the Training Specialist.
5.Ensures workflow manual is documented accurately and the data integrity confirmed working directly with the Training Specialist, Quality and Compliance.
6.Works in conjunction with Training Specialist to prepare and provide formal training session to SBR colleagues.
ADDITIONAL FUNCTIONS and RESPONSIBILITIES
1.Performs other duties as assigned.
2.Supports the organization's quality program(s).
QUALIFICATIONS
Education & Licensing
Baccalaureate degree from an accredited college or university preferred.
Experience
Two (2) years of workers compensation and/or bill review experience required with strong concentration in multiple state jurisdictional rules and regulations and complex medical bill processing; in-depth knowledge of medical terminology required; six (6) months training and/or mentoring experience required.
Skills & Knowledge
-Knowledge of industry-specific medical terminology and bill review processes and procedures
-Good oral and written communication, including presentation skills
-PC literate, including Microsoft Office products
-Leadership and motivational skills
-Analytical and interpretive skills
-Strong organizational skills, accuracy and attention to detail
-Strong interpersonal skills
-Ability to multi-task, meet deadlines and function in high volume area
-Ability to work in a team environment
-Ability to meet or exceed Performance Competencies
WORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
Physical: Computer keyboarding, travel as required
Auditory/Visual: Hearing, vision and talking
NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar: http://sedgwickcms.contacthr.com/19778877
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