Healthcare Billing Specialist | Earn up to 60K + SOB

4 weeks ago

Metro Manila Philippines Private Advertiser Full time

Revenue Cycle Management Specialist Trainer (Healthcare Billing) Key Responsibilities: Lead the successful setup and management of the RCM training function. Train new hires, tenured staff, and experienced professionals across all backend RCM processes. Deliver engaging training sessions through classroom, virtual, e-learning, and hands-on methods. Conduct monthly training needs analysis (TNA) and performance reviews to identify skill gaps. Monitor batch performance and ensure 100% productivity readiness. Manage bottom quartile performers through targeted coaching and retraining. Design and implement effective training content, curriculum, and automation tools. Collaborate with operations, quality, and leadership teams to align training with business goals. Stay updated with industry best practices and continuously improve training programs. Support credentialing and onboarding processes for new hires. Gain hands-on experience by working on live accounts to enhance experiential training. Develop end-to-end understanding of new and existing RCM processes and update training materials accordingly. Align training delivery with company/client culture, mission, vision, and values. Facilitate both in-person and virtual training sessions effectively. Adhere to company policies, work flexibility guidelines, and evolving business directives. Required Qualifications: 5+ years of experience in US healthcare revenue cycle management (RCM), including acute and ambulatory billing. Strong background in denial management , appeal writing , and claims resolution . Hands-on experience as an Accounts Receivable (AR) Representative with proven training impact. Deep understanding of UB04 claim forms , inpatient coding , revenue codes , and regulatory compliance . Familiarity with Medicare , Medicaid , and commercial insurance guidelines. Expertise in DRG classifications , bundled payment models , and inpatient reimbursement . Proficient in interpreting ICD-10 , CPT , HCPCS codes and medical records. Strong analytical skills to identify root causes and drive faster AR resolution. Experience supporting multiple geographies (US, Puerto Rico, Philippines, India). Excellent communication, leadership, and problem-solving skills. #J-18808-Ljbffr

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