HCAI - MEDICAL BILLING AND CODING - TRAINING PROGRAM (CREDENTIALING AND ENROLLMENT INTERNSHIP)

Description

Applicants MUST LIVE in the State of California

Please Note: "This is a grant-funded training program, not an employment opportunity". Employment is not guaranteed at the completion of the program.

Training Program Objectives

• Introduce healthcare revenue cycle operations with a focus on medical billing, coding, and provider credentialing processes.
• Develop an understanding of how healthcare services are documented, coded, credentialed, enrolled with insurance payers, and reimbursed within healthcare organizations.
• Gain foundational knowledge of the three primary healthcare code sets used in medical billing and coding: CPT, ICD-10-CM, HCPCS Level II.
• Develop an understanding of the health insurance industry, reimbursement methodologies, regulatory and compliance considerations, and the role credentialing and payer enrollment play in ensuring providers are authorized to deliver services and receive reimbursement from insurance payers.
• Introduce processes involved in: Provider credentialing and recredentialing, Payer enrollment and provider network participation, Documentation verification and provider data management, Claim preparation, submission, and payment processing, Revenue cycle workflows within healthcare organizations.
• Prepare participants for careers supporting healthcare administrative and revenue cycle functions in physician practices, clinics, hospitals, and federally qualified health centers.
• Equip students for a rewarding future in medical billing/coding in a physician’s office, clinic, or similar setting.
• Prepare students to test for the industry-recognized billing and coding certifications from the American Academy of Professional Coders (AAPC).

Training Program Eligibility Requirements

• Must be 18 years or older.
• Must have a high school diploma or GED.
• Must be a U.S. Citizen or Permanent Resident/Green Card holder (not open to non-citizens or Visa holders).
• Familiarity with Microsoft Office Suite, particularly Word, Excel, and PowerPoint, is beneficial for this role.
• Must be able to pass a national criminal background check successfully.

Training Program Benefits

• Total Stipend: $31,200, distributed over approximately 44 weeks for participation in both remote learning and remote hands-on internship/externship training.
• Eligible for monthly Health Marketplace reimbursement up to $600 for 44 weeks (Participant cost only).
• Internet Stipend: $35/month for 44 weeks.
• Credentialing and Enrollment Internship Pathway: Gain practical experience supporting healthcare organizations with provider credentialing and payer enrollment processes.
• Internship Duties Include, But Are Not Limited To:
• Provide efficient and accurate support to ensure complete provider information and timely processing of credentialing and enrollment requirements.
• Contribute to activities related to initial credentialing, recredentialing, and payer enrollment.
• Support communication with health centers, providers, and internal teams to keep credentialing and enrollment processes moving forward.
• Research and obtain required information from providers or clinic staff through Epic in-basket communication.
• Review and organize documents needed for payer enrollment, including hospital affiliations, collaborative agreements, and facility-specific materials.
• Validate and maintain accurate provider information in MD Staff and the Council for Affordable Quality Healthcare (CAQH) system.
• Aid in reviewing updated credentials in MD Staff and help ensure data remains accurate and consistent across systems.
• Participate in audits of practitioner files and other data integrity projects.
• Collaborate with health centers to ensure providers meet credentialing compliance requirements.
• Partner with OBS and other stakeholders to identify areas of concern and support resolution.
• Identify common errors that delay enrollment and reinforce best practices that support timely completion.
• Establish and maintain positive working relationships with payers, providers, team members, clients, and other stakeholders.
• Maintain confidentiality of patient and organizational information in compliance with HIPAA.
• Perform data entry and computer-based project tasks as needed.
• Meet assigned productivity goals.

Training Program Details

• This is a temporary training program lasting approximately 44 weeks.
• This training program requires the learners to participate Mon-Fri, 8 AM-5 PM for the duration of the program.
• Participants are not eligible to receive paid holidays or paid time off (PTO), all missed time will need to be made up.
• The program includes remote learning and remote hands-on internship training.
• Accepted participants must complete 40 hours per week, Monday through Friday, during regular business hours for the entire duration of the program.

OCHIN Workforce Development Equal Opportunity Statement

OCHIN is an equal opportunity educational provider committed to fostering an inclusive and equitable environment for all. We are dedicated to a policy of non-discrimination for all members of the OCHIN community, including learners, team members, and applicants. We do not discriminate based on race, creed, color, sex, sexual orientation, gender identity or expression, religion, national origin, age, disability, genetic information, marital status, veteran status, or any other legally protected status. OCHIN is committed to making decisions for program entry, training, and educational opportunities based on individual qualifications and abilities. We actively seek to attract learners and team members from diverse backgrounds and affirmatively support equal access and opportunity for women, minorities, individuals with disabilities, special disabled veterans, and other covered veterans, in accordance with applicable federal, state, and local laws. We strive to create an inclusive learning environment that fosters the success of every individual and reflects the diverse communities we serve.

OCHIN Workforce Development Health Screenings And Immunization Requirements

To ensure the safety of our learners, partners, and communities, OCHIN requires all program participants—including those attending remote and in-person training, internships, and externships—to be vaccinated with a COVID-19 vaccine, as recommended by state and federal public health officials. Participants must provide proof of full vaccination or receive approval for a medical or religious exemption prior to program acceptance. Additionally, for on-site internships and externships, participants must provide proof of meeting the immunization requirements specific to the host site prior to acceptance into the program. These requirements may include, but are not limited to, vaccinations for influenza, hepatitis B, and MMR. Requests for exemptions based on medical or religious grounds will be reviewed and must comply with applicable laws and site-specific policies. Please note that many sites require participants to complete tuberculosis (Tb) testing and drug screening before beginning their placement. Participants are responsible for ensuring that all required health screenings are completed by the site's deadline to avoid delays in program participation.

Additional Information

OCHIN is committed to working collaboratively with program participants and host sites to ensure compliance with these health and safety requirements while maintaining respect for individual beliefs and circumstances.