Work From Home Medical Claims Processing Jobs (NOW HIRING)

Claims Training Coordinator

Location: Birmingham, AL

Job Description

The Claims Training Coordinator provides non-supervisory support to the claims trainer by assisting with the coordination, reinforcement, and documentation of training activities for claims examiners. This role functions as a subject matter resource and training support partner to help ensure sessions and follow-up activities are executed effectively.

This position will be responsible for creating, updating, and managing all training and operational documentation within the Claims Operations team. This role ensures that training materials, standard operating procedures (SOPs), and job aids are up-to-date, accurate, and aligned with current claims processing procedures and regulatory requirements. This position supports quality initiatives to ensure accurate and consistent claims adjudication.

Why VIVA HEALTH?

VIVA HEALTH, part of the renowned University of Alabama at Birmingham (UAB) Health System, is a health maintenance organization providing quality, accessible health care. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys.

VIVA HEALTH has been recognized by Centers for Medicare & Medicaid Services (CMS) as a high-performing health plan and has been repeatedly ranked as one of the nation's Best Places to Work by Modern Healthcare.

Benefits

• Comprehensive Health, Vision, and Dental Coverage
• 401(k) Savings Plan with company match and immediate vesting
• Paid Time Off (PTO)
• 9 Paid Holidays annually plus a Floating Holiday to use as you choose
• Tuition Assistance
• Flexible Spending Accounts
• Healthcare Reimbursement Account
• Paid Parental Leave
• Community Service Time Off
• Life Insurance and Disability Coverage
• Employee Wellness Program
• Training and Development Programs to develop new skills and reach career goals
• Employee Assistance Program

See more about the benefits of working at Viva Health - https://www.vivahealth.com/careers/benefits

Key Responsibilities

• Assist and support the claims trainer with on-boarding and ongoing training activities for claims examiners.
• Coordinate training logistics, scheduling, and materials preparation including job aids, workflows, reference guides, attendance tracking, and follow-up documentation.
• Assist with classroom and virtual training for new claims examiners and provide hands-on training in claims adjudication system.
• Serve as a non-supervisory subject matter resource for claims adjudication. Assess trainee performance through quizzes, practice claims, and coaching. Reinforce training on professional and facility medical claims processing.
• Work collaboratively with the claims trainer, claims leadership, quality, and operations teams.
• Develop, maintain, and update claims-related documentation including policies, procedures, workflows, job aids, and reference guides. Track and manage version control, approvals, and publication of claims documentation. Ensure training materials are easy to navigate, up-to-date, and accessible for trainees.
• Translate complex claims processes and regulations into clear, user-friendly written materials. Ensure documentation aligns with current regulatory requirements (CMS, HIPAA, state regulations) and payer-specific guidelines.
• Collaborate with Claims trainers to create structured, clear training materials and resources for new and existing employees. Collaborate with claims operations, training, quality, and trainer(s) to validate accuracy and usability of documentation.
• Assist with impact assessments and documentation updates related to system changes, policy updates, or regulatory changes. Respond to documentation inquiries and provide clarification to operational teams as needed. Identify documentation gaps or inconsistencies and recommend improvements to support claims accuracy and efficiency.

REQUIRED:

• High School diploma or GED
• At least 2-5 years in healthcare claims processing, claims operations, or related healthcare administrative role
• Experience creating, maintaining, or updating policies, procedures, or technical documentation
• Experience with medical, professional, and/or institutional claims (UB-04, CMS-1500, etc.)
• Strong knowledge of medical claims adjudication processes, workflows, terminology, and benefit interpretation
• Working knowledge of healthcare regulations and compliance requirements (CMS, HIPAA, state regulations)
• Strong communication and documentation skills; Clear technical writing skills with the ability to translate complex processes into clear documentation
• Ability to explain complex medical claims concepts clearly
• High attention to detail and consistency; Strong organizational and version control skills
• Ability to collaborate effectively with cross-functional teams like operations, training, quality, and compliance in a supportive manner
• Time management and prioritization skills
• Familiarity with CPT, HCPCS, ICD-10-CM, and medical reimbursement concepts
• Familiarity with medical claims systems and training platforms
• Proficient with standard business software including Microsoft Word, Excel, SharePoint, or comparable document management systems

PREFERRED:

• Associate's degree
• Experience assisting with coaching, mentoring, supporting training efforts, or knowledge sharing
• Experience in a training support role, lead examiner, or SME role
• Experience with regulatory audits, quality audits, or claims accuracy initiatives