Claims Educator – The Health Plan

 
Position: Claims Educator – The Health Plan

Location: US-TX-Bellaire

Talent Area: Administrative Support

Shift: 7a – 4p Monday - Friday

About Texas Children's Hospital

Founded in 1996, Texas Children’s Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.   To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.   Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Summary:

We are searching for a Claims Educator -- someone who works well in a fast-paced setting. In this position, you will lead in the design, development, and implementation of training programs for new and existing employees, to enhance the competency, performance and professional development of the Claims Administration team. This position is critical in the development and ongoing accuracy of claims processing to ensure accurate reimbursement to providers.

 

Think you’ve got what it takes?



Responsibilities :

Job Duties & Responsibilities

  • Develops and coordinates the Claims Administration Training Program
  • Assures that staff completes departmental orientation upon employment as monitored by training records
  • Documents competency scores for Pre & Post Assessments to ensure comprehension of material presented to employee
  • Provides staff with ongoing job-specific training programs, in services and continuing education opportunities
  • Develops and completes measurable job-specific training as identified by statistical reports and audits
  • Provides information system application expertise
  • Performs specific training on Information Systems used in Claims Administration
  • Recommends Application and Program enhancements to improve workflow processes
  • Coordinates and facilitates all aspects of end-user testing for system updates/conversions


Qualifications:

Skills & Requirements

  • High school diploma or equivalent required
  • A bachelor’s degree may substitute for two years of the required experience
  • Four years’ previous training experience in an adult training environment required


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