What are the responsibilities and job description for the Insurance Training and Quality Specialist position at Goshen Health?
The Insurance Training & Quality Specialist supports the accuracy of insurance workflows, Medicaid coordination, and quality assurance across the ambulatory care network. This role leads training, onboarding, and competency programs for registration staff, while serving as the internal expert on insurance verification, Medicaid eligibility, payer policy updates, and CMS compliance. The specialist also coordinates a quality and audit program, provides direct support for patient Medicaid enrollment, and partners with multiple departments to drive improvement in insurance processes, patient experience, and revenue cycle outcomes.
Position Qualifications
Minimum Education High School Graduation or Equivalent
Preferred Education Associate or bachelor’s degree. Courses or training in health care related field, courses or training in delivering training programs,
Minimum Experience 2 years of job-related experience in registration or insurance processing related field in the healthcare industry; Demonstrated competency in understanding elements of an insurance card and reading an eligibility; Familiarity of medical terminology, computer literacy including Word/Excel, computer literacy with hospital EHR system
Preferred Experience Experience in the development of training materials and/or presenting trainings; bilingual
