
Career Opportunities in Healthcare Revenue Cycle Management
1 week ago
Revenue Cycle Operations Specialist
About the RoleWe are seeking an experienced Revenue Cycle Operations Specialist to develop and deliver high-quality training programs for professionals transitioning into U.S. healthcare revenue cycle management.
Key Responsibilities- Design and implement comprehensive training programs tailored for accounting professionals with a focus on medical billing, coding, claims processing, AR management, and compliance.
- Conduct live and virtual training sessions to educate participants on key concepts and best practices in revenue cycle operations.
- Develop engaging training materials, case studies, and practical exercises to enhance learning outcomes and improve job performance.
- Utilize Learning Management Systems (LMS) and revenue cycle software to provide hands-on training experiences.
- Teach insurance claims processing, denials management, payment posting, and AR follow-up procedures.
- Instruct on ICD-10, CPT, and HCPCS coding fundamentals and their integration into revenue cycle workflows.
- Explain Medicare, Medicaid, and private insurance reimbursement policies and regulations for the U.S. market.
- Guide learners in tracking revenue cycle performance metrics such as Net Collection Rate, AR Days, and First-Pass Resolution.
- Assist trainees in preparing for industry certifications like CRCR, CPB, CMRS, and CHFP.
- Provide ongoing mentorship and career guidance to support job placement in revenue cycle roles.
- Conduct mock audits, real-world case studies, and practice claim submissions to reinforce learning.
- Ensure training covers HIPAA, compliance laws, fraud prevention, and best practices in revenue cycle operations.
- Stay up-to-date with CMS regulations, payer policy changes, and revenue cycle industry trends.
- Recommend workflow optimizations to reduce claim denials and improve cash flow.
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