CDU Trainer

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct thorough follow-up and reporting on denials with a comprehensive understanding of claims.

• Generate reports to identify trends and offer guidance on accounts through team training.

• Analyze denial CARC codes and present denials with a focus on educational improvement.

• Provide training to both new and existing team members on the processes for denial follow-up.

• Facilitate issue resolution by directing matters to the appropriate subject matter experts.

• Elevate issues to supervisors, seeking information or taking necessary actions for resolution.

• Execute a variety of tasks across changing responsibilities efficiently.

• Relay issues to management promptly.

• Collaborate with various organizational departments to ensure proper management of patient accounts.

• Resubmit corrected claims along with necessary supporting documentation.

• Carry out additional duties as assigned by direct supervisors.

⛳️ Requirements

• High School Diploma/GED or 3 years of relevant experience in lieu of formal education.

• Over 3 years of experience in medical specialty billing.

• Strong understanding of claims, including Clean Claims, UB 04 Format, and 1500 Format.

• Proficient in understanding 835 Remittances.

• Working knowledge of CARC Codes.

• Capability to create training documentation and deliver presentations effectively.

• Experience in professional client engagement.

• Ability to interpret and apply reimbursement components of managed healthcare contracts.

• Effective and efficient problem-solving skills.

• Knowledge of HIPAA regulations.

• Strong communication skills.

• Self-motivated to enhance knowledge of processes and denial reporting.

• Proficient in Microsoft Office applications.

• Ability to communicate effectively in group settings with professional leadership communication.

• Strong time management abilities.

• Excellent organizational skills.

🏝️ Benefits

• Coverage for Medical, Rx, Dental & Vision Insurance.

• Personal and Family Sick Time along with Company Paid Holidays.

• Eligibility for discretionary variable incentive bonuses.

• Parental Leave benefits.

• Participation in a 401(k) Retirement Plan.

• Basic Life and Supplemental Life Insurance options.

• Health Savings Account availability.

• Flexible Spending Accounts for Dental/Vision & Dependent Care.

• Short-Term and Long-Term Disability coverage.

• Tuition Reimbursement programs.

• Opportunities for Personal Development and Learning.

• Skills Development and Certification programs.

• Employee Referral Program incentives.

• Participation in Corporate Sponsored Events and Community Outreach initiatives.

• Emergency Back-Up Childcare Program options.

• A flexible benefits package tailored to employee needs.