Medical Billing Training Specialist

The Medical Billing Training Specialist (MBTS) plays a multifaceted role within the SME Program, combining workflow instruction, learner coaching, skill evaluation, and content development. This role supports virtual assistants training for medical billing and back-office roles, with a focus on teaching system fluency, billing accuracy, and claims logic. Flexibility is essential—this role supports both entry-level and experienced learners, adapts to payer updates and clinic protocols, and contributes to retraining for cancelled VAs returning through re-entry. The MBTS bridges day-to-day instruction with performance validation to help build a deployment-ready dental billing talent bench.

Instruction & Training Delivery
Teach core medical billing workflows including insurance eligibility verification, CPT/ICD code usage, claim submission, EOB/ERA review, and denial management.
Lead live and recorded training sessions focused on payer logic, billing sequencing, documentation (e.g., medical necessity), and audit-readiness.
Facilitate mock billing scenarios (case studies) to strengthen learner understanding of payer rules, code matching (CPT/ICD), and effective submission strategies
Evaluation & Performance Assessment
Conduct Skills Evaluation Interviews (SEIs) to assess accuracy, billing judgment, and system familiarity
Track learner progress via Salesforce, TalentLMS, and billing-specific checklists
Lead recovery training sessions for cancelled VAs re-entering the system, based on gaps in skills or billing quality
Deliver structured feedback and escalate retraining needs as required
Content & Curriculum Support
Support development of micro-modules covering payer updates, claim denials, secondary insurance workflows, and code-specific pitfalls
Recommend updates based on industry trends, learner performance, and clinic needs
Learner Support & Technical Guidance
Respond to learner questions on CPT codes, billing sequences, payer protocols, and documentation
Offer practical advice on tone and accuracy in billing notes and patient-facing communication
Identify common misunderstandings and coordinate content updates with the SME Lead
Compliance & Documentation
Reinforce HIPAA compliance and billing documentation standards across all content and training simulations
Teach accurate claim documentation, patient ledger handling, and coordination between billing and front office notes