We are seeking a knowledgeable and proactive Training Specialist to join our internal training team, with a strong background in Revenue Cycle Management (RCM) processes. The ideal candidate will have hands-on experience in insurance verification, medical billing, prior authorization, and claims processing, along with experience in developing and delivering training in a healthcare or RCM environment. This role plays a critical part in equipping our internal teams with the knowledge, tools, and support they need to perform at a high level and maintain operational excellence.
Key Responsibilities:
- Co-develop and lead virtual training programs for RCM processes (Insurance Verification, Prior Authorization, Billing).
- Assist in building SOPs, compliance standards, training roadmaps, tools, and resource libraries.
- Coordinate with Operations, QA, Compliance, and other departments to align training with business needs.
- Monitor and report on training KPIs, performance trackers, and learner progress.
- Deliver engaging, effective virtual training sessions for new hires and existing staff.
- Report directly to the Head of Training and support strategic training initiatives.
Qualifications:
- 5+ years of hands-on experience in U.S. Healthcare Revenue Cycle Management (RCM), including Insurance Verification, Prior Authorization, and Medical Billing.
- 2+ years in a training, coaching, or teaching role, preferably in a virtual environment.
- Proven ability to explain complex processes clearly, adapt to different learning styles, and support adult learners.
- Excellent communication, facilitation, and presentation skills; passionate about training and mentoring others.
- Highly organized, proactive, and self-motivated—comfortable managing responsibilities in a fully remote setting.
- Proficient with training and collaboration tools such as Zoom, MS Teams, Google Workspace, and LMS platforms.
- Strong understanding of RCM compliance, payer rules, and process documentation is a plus.
