Healthcare Provider Trainer

1 week ago


New York, New York, United States NYC Health Hospitals Full time
Job Title: Provider Education Trainer

At NYC Health + Hospitals, we are committed to providing high-quality healthcare services to our community. We are seeking a skilled Provider Education Trainer to join our team.

Job Summary

The Provider Education Trainer will be responsible for providing onboarding and training to healthcare providers on claims and billing procedures, contract compliance, product management, and pharmacy issues. This role will also promote provider compliance with local, state, and federal regulations through provider forums and training opportunities.

Key Responsibilities
  • Provide onboarding and training to healthcare providers on claims and billing procedures, contract compliance, product management, and pharmacy issues.
  • Organize training schedules, track attendees, and set up classroom and practicum trainings.
  • Support and maintain current provider network through customer service, including training, credentialing assistance, claims resolution, and advocacy.
  • Develop and provide a standard orientation package for newly contracted providers.
  • Promote technology and skills development to improve provider business practices.
  • Implement processes for documenting and monitoring training program for provider compliance and program effectiveness.
  • Ensure contract compliance and identify areas for improvement.
  • Participate in cross-functional teams to solve system issues.
Requirements
  • Bachelor's Degree in healthcare administration, marketing, or a related field.
  • 3-5 years of experience in a managed care or provider organization.
  • Ability to travel within the MetroPlus Health service area to meet with providers and their representatives.
  • Working knowledge of and proficiency with Windows-based PC systems and Microsoft Office.
Professional Competencies
  • Integrity and trust.
  • Customer focus.
  • Functional/technical skills.
  • Ability to independently manage assigned workload, make decisions related to area of functional responsibility, and recognize issues requiring escalation.
  • Highly organized, detail-oriented, dependable, and professional individual.
  • Ability to exercise tact and diplomacy and demonstrate strong customer service skills.
  • Ability to prepare written and oral reports and make effective presentations.


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