Revenue Cycle Management Professional

1 week ago

Pagadian, Zamboanga Peninsula, Philippines beBeeRevenuemanagement Full time ₱60,000 - ₱100,000
Job Title:

Cycle Revenue Management Professional

Role Summary:

We seek an experienced cycle revenue management professional to develop and deliver training programs for accounting professionals transitioning into U.S. healthcare revenue cycle management.

Main Responsibilities:
  • Create and implement RCM training programs tailored for professionals with an accounting background.
  • Conduct live and virtual training sessions covering medical billing, coding, claims processing, AR management, and compliance.
  • Develop training materials, case studies, and practical exercises to enhance learning outcomes.
  • Utilize Learning Management Systems (LMS) and RCM software for hands-on training.
Technical Instruction:
  • Teach insurance claims processing, denials management, payment posting, and AR follow-up.
  • Instruct on ICD-10, CPT, and HCPCS coding basics and their integration into RCM workflows.
  • Explain Medicare, Medicaid, and private insurance reimbursement policies for the U.S. market.
  • Guide learners in RCM performance metrics (Net Collection Rate, AR Days, First-Pass Resolution).
Training & Certification Preparation:
  • Assist trainees in preparing for industry certifications (e.g., CRCR, CPB, CMRS, CHFP).
  • Provide ongoing mentorship and career guidance for job placement in revenue cycle roles.
  • Conduct mock audits, real-world case studies, and practice claim submissions.
Process Improvement & Compliance:
  • Ensure training covers HIPAA, compliance laws, fraud prevention, and best practices.
  • Stay updated with CMS regulations, payer policy changes, and RCM industry trends.
  • Recommend workflow optimizations for reducing claim denials and improving cash flow.
Qualifications & Requirements:
  • Bachelor's degree in Accounting, Finance, Healthcare Administration, Business Management, or related field.
  • At least one industry certification (preferred): CRC, CPB, CHF, CMR, CMRS, or equivalent.
  • 5+ years of experience in medical billing, revenue cycle management, healthcare finance, or claims processing for the U.S. healthcare system.
  • Experience in training, mentoring, or teaching RCM-related topics is highly preferred.
  • Hands-on experience with RCM software, EHR, and practice management systems (e.g., Epic, Cerner, Kareo, Medisoft).

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