Training & Testing Coordinator
- Employment Status
- Full Time
Health Care that Starts with You!
Join a truly mission-driven organization! Independent, nonprofit UCare is recognized as one of the Minnesota's leading health plans. We provide more than 225,000 members across Minnesota and western Wisconsin with the health coverage plans and services they need to maintain and improve their health. The innovative coverage we create makes a difference for Medicare-eligible individuals, individuals and families enrolled in Minnesota Health Care Programs, such as MinnesotaCare and Medical Assistance, and disabled adults with special health care needs. UCare is growing in size, membership, products, geographic coverage, and employees. We're an organization that's going places. Be part of a team that cares about you, be part of UCare.
ABOUT UCAREAt UCare, we deliver high-quality health coverage and services to help members of all ages maintain and improve their health. It's a big job that takes innovative ideas, strategic partnerships, and a commitment to doing the right thing. Above all, it takes a compassionate team that is dedicated to making a real difference in the lives of our members and our communities.WORKING AT UCAREWorking at UCare is more than just a career; it's a mission. A mission that defines us as professionals, unites us as an organization, and shapes how we interact with our members and each other. Our values of integrity, community, quality, flexibility, and respect permeate every aspect of our organization - from who we are and how we act, to what we do and how we do it. We owe our continued success to our employees who proudly embody our mission and values in everything they do. TRAINING AND TESTING COORDINATORPosition DescriptionDevelop and implement core training programs and resources for the Claims Department staff as well as deliver and provide feedback on performance and additional training needs for new employees. Develop, monitor, and maintain the Claims Department work instructions in compliance with all regulatory requirements. Assist with the development and presentation of UCare sponsored training programs. Provide technical assistance including: test new configurations in training and production environments; test new installations or upgrades in software; research and assist in documentation used for training and department work instructions. ·Develop, maintain, implement and audit core training curriculum and materials in collaboration with managers and supervisors. Identify knowledge gaps and training opportunities to enhance examiner performance. Ensure timely and accurate delivery of training programs for new and existing claims staff, including conducting cross-training.·Serve as an internal and external department resource for questions regarding complex claim issues that require processing or testing accuracy.·Work with the claims leadership team to implement work instructions. Develop training sessions to educate staff on new or updated work instructions. ·Build, design, and test scenarios for new projects or changes identified by the leadership team. ·Assist in identifying issues and recommending changes to enhance claims processing functions. ·Review current work assignment and incorporate process changes to improve individual and department procedures. ·Accurately interpret health plan member certificates of coverage, provider contracts, state and federal rules and regulations, and UCare policies and procedures. ·Collaborate with other UCare departments and committees to analyze, develop and deliver training programs for all UCare staff.·Perform other projects and duties as assigned.EducationTwo-year Associates Degree preferred with course work in medical terminology, CPT-4, HCPC's, and ICD-10 coding required. Relevant work experience will be considered in lieu of a two-year degree.Required Experience
Minimum of five years' experience in Medicare, Medicaid, and Commercial Insurance claims processing. Knowledge of PHI, CPT, HCPC's, ICD-10, and medical terminology. Experience with employee training, system development, testing methodologies, and ability to perform analysis. Demonstrated experience with Outlook, Word, Access and Excel. Intermediate knowledge of DHS and CMS claims processing guidelines.Preferred ExperienceAdvanced knowledge of Medicaid and Medicare. Amisys Claims System and MACESS Exp experience a plus. THE UCARE DIFFERENCEUCare is proud to be a recognized Star Tribune Top Workplace for the 8th consecutive year. As a part of our collaborative team, you'll experience the rewards that come with helping others and seeing the positive results of your hard work. We value and respect each individual's ideas and contributions, and give you the freedom to grow both personally and professionally. We are centrally located, and offer onsite education, equipment and wellness resources, a myriad of volunteer activities, and a number of other rewards. If you're looking for a welcoming environment that celebrates what you have to offer, helps you build on your strengths, and gives you the opportunity to truly make a difference, we invite you to apply. As an Equal Opportunity/Affirmative Action Employer, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.
Enter a highly collaborative environment where people are truly engaged, and feedback is valued. You'll enjoy a competitive salary and benefits, as well as a host of other perks, including a nationally recognized wellness program, and a bright, open, award-winning office space in Northeast Minneapolis just minutes from major freeways and retail centers.
At UCare, we welcome and employ a diverse employee group committed to meeting the needs of UCare, our members, and the communities we serve.