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Membership Accounting Trainer- Remote for (AK, AZ, ID, OR, TX, or WA)

Moda, Inc - Portland, OR

Let’s do great things, together

Founded in Oregon in 1955, ODS, now Moda, is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.

Provides training, develops, and maintains documentation for Membership Accounting.  Retrains established Membership Accounting specialists when needed and provides ongoing training to Membership Accounting specialists on new procedures and regulations.
​​​​This is a Remote PST position. We are only offering this position to candidates living in or willing to relocate to AK, AZ, ID, OR, TX, or WA. 

Please follow the link below and complete an application to apply to this position:



\tMedical, Dental, Vision, Pharmacy, Life, & Disability
\t401K- Matching
\tEmployee Assistance Program
\tPTO and Company Paid Holidays


\tPST Monday - Friday 
\tFull-Time 7.5 hour days with a 37.5 hour work week

Required Skills, Experience & Education:

\tHigh School diploma or equivalent required.
\t1-2 years training experience in a health insurance environment, preferably in a Membership Accounting role (billing, eligibility & reconciliation) department preferred.
\tAbility to instruct, motivate, and direct individuals at various skill levels, face to face and in the classroom environment.
\tDemonstrate strong, effective, and diplomatic interpersonal skills with employees of all levels and participate effectively as a team player.
\tDemonstrate analytic skills in identifying technical needs and implementing an effective course of action.
\tDemonstrate training skills both in a small group and large group setting with excellent presentation skills.
\tKnowledge of Word, Excel, and ability to navigate web-based programs.
\tExcellent reading, verbal, and written communication skills, and the ability to interact professionally, patiently, and courteously with others.
\tGood analytical, problem solving, decision making, and organizational, and detail-oriented skills with ability to shift priorities.
\tGood organizational ability to work under pressure, to handle a variety of functions and meet deadlines.
\tAbility to come to work on time on a daily basis.  Maintain attendance above company standards.
\tMaintain confidentiality and project a professional presence and appearance.
\tAbility to read and interpret policy contracts and incorporate language in to UPM’s.
\tAbility to understand State and Federal legislation affecting eligibility and billing administration (CMS, FFM, CCO/DCO, etc.) over multiple states.
\tAbility to take a concept and independently develop and create a training plan, workflows, and procedures that can be understood by trainees of all skill and experience levels.

Primary Functions:

\tResponsible for department product (Medicare, Medicaid, Individual, Group and BHS) training for new hires, ongoing refresher training an annual training. 
\tDevelops courses and modules for use in the training of all levels of Membership Accounting Specialists.  This includes the development and updating of course content and training materials.  Coordinates to ensure consistency throughout the company.
\tMonitor performance expectations and results for new hires, provide coaching when necessary and facilitate weekly 1:1 meetings.
\tDevelops and implements presentations in a clear, user friendly manner and accommodates various adult learning styles.
\tConducts end of course evaluations and action planning.
\tCreates and updates documentation, department procedures and resource materials as needed and/or necessary.
\tAdvises the Supervisor of any personnel issues, utilizing proper judgement in assessing any necessary action to be taken.
\tAssists in the planning, organizing, and directing the activities and workflow of the department.
\tParticipates in or manages projects as assigned.
\tFosters and atmosphere of team spirit and portrays an outgoing and positive attitude with peers, Moda and BHS Leadership, Customers and/or trainees at all times.
\tCollaborates with other departments to identify training needs, coordinates and implements classes when appropriate.
\tResponsible for ensuring department specific HPMS, CCO, FFM, or any State and/or Federal information is reviewed, discussed, documented, implemented, audited, and trained based on the guidance.
\tResponsible for ensuring all Medicare, Medicaid, FFM, BHS, Group, etc. related Policies and Procedures are accurate, up to date, and reviewed, at minimum, annually.
\tInterpret contracts, new regulations, CMS memo’s, COBRA rules, etc. and determine actions required.  Recommend procedures for department, write UPM’s.

Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.

For more information regarding accommodations please direct your questions to Kristy Nehler and Daniel McGinnis via our email.

82 days 2 hours ago

Moda, Inc

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Location: Portland, OR