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Product Consultant / Trainer healthcare claims editing - Telecommute

Salt Lake City, UT

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Product Consultant / Trainer (healthcare claims editing) - Telecommute

Salt Lake City
Job #714811730
As the Product Consultant, you will work directly with our external and internal customers while managing a portfolio of projects supporting internal and external customers. This position requires the highest level of professionalism, innovative approach and solutions, as well as the ability to understand and communicate CMS NCCI, Medicare, and Medicaid edits. You will also need to fully understand both Professional and Facility medical claims and how CMS interprets payment and reimbursement procedures.
As we build efficient and repeatable processes our team will deliver industry leading implementations that result in high NPS scores.
The individual in this role will provide a detailed level of support and guidance on a clinical coding software application during the implementation of the product. This person will also provide input on the system setup of the clinical coding software application.
The Product Consultant is responsible for the successful integration and configuration of various clinical editing solutions by new and existing customers. The successful candidate will have a strong healthcare background and industry knowledge as well as specific clinical coding experience that will allow them to provide consulting on how best to configure our solutions into our customers’ existing business practices and fully optimize to allow for the greatest return on their investment.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Assist clients with initial setup of the software during implementation
Assist in best practices of business decisions for setup of the application
Support new customers on the software until transition to support in order to build and maintain strong business relationships
Participate in onsite project kickoff where customer implementation team is brought up to speed on solution features, functions, and capabilities
Participate in weekly calls and follow-up on any specific task assigned
Document correspondence and activity
Documenting workflow process
Troubleshoot client issues during implementation
Identify critical client issues and communicate them to the appropriate staff for resolution / prevention
Assist in updating implementation documentation
Assist clients with go-live activities, testing and support (on-site or remote)
Assist customer through the design phase of the project providing business and product consulting and guidance on how best to integrate, configure, and operate the solution to meet the customers’ business needs and requirements
Provide onsite or virtual product training to customers as needed
Research and resolve customer questions and issues as a result of testing
Assist as necessary in scoping new and existing customer opportunities to ensure that implementation work effort is estimated appropriately prior to completing the sales cycle
Coordinates with Project Management to prepare the Implementation Plans and Statements of Work that include detailed requirements for the project specific to a customer’s business processes
Act as a point of escalation / liaison with client management team to drive issue resolution for clients across the business
Required Qualifications:
High School Diploma / GED
2 years of experience / knowledge of the healthcare industry and/or clinical experience
2 years of experience with claims processing and/or coding or equivalent implementation experience
1 years of experience in claim submission, processing, and billing practices
1 years of experience using MS Excel including PivotTables.
Medical coding certification obtained or willingness to secure certification within one year
Ability to travel up to 50%
Preferred Qualifications:
BA / BS degree in healthcare or business related field
Working knowledge of client - server concepts and relational databases
Proficiency in Microsoft Word and PowerPoint
Strong clinical background
Background with participating in the implementation of software
Optum Claims Editing System (CES) end-user experience
Working knowledge of client - server concepts and relational databases
If you're the kind of thinker and leader who wants to bring your contribution to a new level every day, bring yourself over to Optum. You'll discover an opportunity to do your life's best work.(sm)
*All Telecommuters will be required to adhere to **MEMBERS ONLY**SIGN UP NOW***.'s Telecommuter Policy
Diversity creates a healthier atmosphere: **MEMBERS ONLY**SIGN UP NOW***. is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
**MEMBERS ONLY**SIGN UP NOW***. is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Updated 08/11/2018

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