Claims and Medical Billing QA Trainer

*_$1500 Sign On Bonus for Eligible New Hires!_* The Everett Clinic is seeking a Claims and Medical Billing Auditor/Trainer to join the Business Services team full time in Everett, WA. The Everett Clinic, a part of Optum, offers excellent benefits including free onsite parking, retirement savings plan, tuition reimbursement, paid time off and holidays, health insurance as well as, professional growth opportunities..SPECIFIC SCHEDULE:* 40 hours/week, Monday -Friday, requires flexibility to work different shifts: 7:15am to 3:45pm or 8:00am to 4:30pm. Hybrid/remote work possible after in-person training..LOCATION:* The Everett Clinic, 1800 41st St, Everett, WA.JOB SUMMARY:* Under general supervision, responsible to ensure quality in the Business Services Basic Skills through auditing and training. Focus on standardized auditing practices to ensure quality issues are handled promptly and professionally. Focus on classroom training, leadership training, individual training as well as follow-up or refresher training. Demonstrate proficiency in job category skills through training, audit and certification to standard work. Flexible regarding work assignment based on certified skills and job categories to meet customer demand..ESSENTIAL DUTIES & RESPONSIBILITIES:* The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment..50%* Serves as the primary source for developing, implementing, training and auditing Basic Skills standard work to all levels of Business Service Representative's (.BSR* ), to include documented procedures and workflows, audit protocols, tracking, notification and recertification monitoring. The.BSR* functions as an integral member of the team and is responsible to ensure services provided to Everett Clinic patients are fully and correctly reimbursed by third-party carriers and patients in a timely manner, including the handling of paper and electronic correspondence and payments received for revenue cycle management. Focus on customer service when working with patients, clinical departments and carriers to ensure service questions and charge disputes are handled promptly and professionally. Demonstrate proficiency in job category skills through training, audit and certification to standard work. Flexible regarding work assignment based on certified skills and job categories to meet customer demand. The.BSR* is responsible for and not limited to:.Payment Entry*.Follow Up/Appeals*.Customer Service*.Patient Credit & Collections and Special Account Work*.Payment and Cashiering Processing*.Registration and Appointment Scheduling*.Claim Edit Work Queues and Paper Bills*.10%* Provides training and education to BSR team Leads on basic skills process work and requirements. Assist in maintaining Basic Skills standard work.10%* Analyzes errors, recommends and develop training programs and refresher classes to meet the needs of BSR staff..10%* Conducts classroom, small group and individual training, including lesson planning, content development and changes to the training program as needed. Documents and updates standard work used for training and auditing as required..10%* BSR Responsibilities: + Remain current on Basic Skills Certification + Remain current on Level 2 Certification + Research and resolve N/A accounts + Manage QA credit Work Queues (WQ).5%* Participates in and leads BSR special projects including the development of staff presentation and training tools.2%* Participates in application testing for workflow changes and application upgrades.1%* Prepares and reports Quality Assurance stats at Graph Package meeting. Reports training and auditing stats as required to Director, Managers and Supervisors Duties listed below are integrated into all job functions: + All staff members are to promote a positive and productive work environment by acting maturely and responsibly, satisfactorily performing his or her job responsibilities and conducting themselves in a professional, courteous and respectful manner toward fellow employees, physicians and patients. + Must relate to other people beyond giving and receiving instructions: (a) get along with co-workers or peers without exhibiting behavioral extreme; (b) perform work activities requiring negotiating, instructing, supervising, persuading or speaking with others; and (c) respond openly and appropriately to feedback regarding performance from a supervisor. + Performs all duties in a manner which promotes and supports the Core Values and Compact of The Everett Clinic. + Integrates Lean principles, practices and tools to improve operational efficiency, reduce costs and increase customer satisfaction. + Frequently must follow written and oral instructions as well as complete routine tasks independently. + Completes annual compliance training on HIPAA/Privacy/Confidentiality/Non-Discrimination/Harassment/Integrity Statement and signs Agreements. + Ensures confidentiality of patient information following HIPAA guidelines and TEC policies. + Attends training to meet requirements of the job position and as needed or mandated by TEC policies, Div. of Occupational Safety & Health (DOSH), OSHA, L&I and other state/federal regulations. + Has regular and predictable attendance..NON-ESSENTIAL DUTIES AND RESPONSIBILITIES:*.2%* Performs other duties as assigned..PREFERRED QUALIFICATIONS:*.Knowledge, Skills & Abilities*.:* Note that these requirements are representative, but not all-inclusive, of the knowledge, skill, and ability required to perform this job..Knowledge:* Intermediate knowledge of Epic software applications, Knowledge of Microsoft Office Suite (Word, Outlook, excel etc.). Knowledge of Adult Learning Styles a plus..Skills:* Skill in organizing resources. Must have excellent, teaching and facilitation skills. Excellent interpersonal and team skills. Good computer skills..Abilities:* Ability to communicate effectively both verbally and in writing. Ability to work independently, one on one with staff and in a team environment. Ability to establish priorities, analyze and solve problems and able to meet deadlines..Education* : High School Diploma/GED (preferred) or equivalent experience..Experience* : One to two years Medical Business Office required; three to five years Medical Business Office experience preferred..Certificate/License* : Level II BSR certification.PHYSICAL AND MENTAL DEMANDS* The physical and mental demands described here are representative of those that must be met by employees to successfully perform the essential functions of this job..PHYSICAL DEMANDS:* While performing the duties of this job, employees are regularly required to sit, walk and stand; talk or hear, both in person and by telephone; use hands repetitively to finger, handle, feel or operate standard office equipment; reach with hands and arms; and lift up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus..MENTAL DEMANDS:* While performing the duties of this job, employees are regularly required to use written and oral communication skills; read and interpret data, information and documents; analyze and solve non-routine and complex office administrative problems; may use math and mathematical reasoning; observe and interpret situations; learn and apply new information or skills; perform highly detailed work on multiple, concurrent tasks; work under intensive deadlines with frequent interruptions; and interact with managers, staff, customers, patients, the public and others encountered in the course of work, some of whom may be dissatisfied or abusive individuals..TYPICAL WORKING CONDITIONS:* The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Typical office conditions and noise level is usually quiet. Interaction with others is busy, constant and occasionally interruptive. Work may be demanding at times. May require ability to work irregular hours. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions..CONTACT:* Physicians, employees, patients, public and possibly vendors. Job descriptions represent a general outline of job duties, functions and qualifications. They are not intended to be comprehensive in nature. In addition, jobs evolve over time and therefore their description may not reflect the precise nature of the position at a given point in time..Other Requirements:*.Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements.*.UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure*.compliance.*.Candidates*.must be able to perform all essential job functions with or without reasonable accommodation.* Interested in learning more? Let's talk about our opportunities and your career growth! Diversity creates a healthier atmosphere: Optum and its affiliated medical practices are Equal Employment Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Optum and its affiliated medical practices is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.