Revenue Cycle Operations Consultant

2 days ago

Pasay, National Capital Region, Philippines beBeeRevenue Full time ₱60,000 - ₱100,000
Revenue Cycle Management Specialist

We are seeking an experienced Revenue Cycle Management professional to develop and deliver training programs for accounting professionals transitioning into U.S. healthcare revenue cycle management.

The ideal candidate will have a strong background in medical billing, coding, claims processing, and financial revenue cycle operations within the U.S. healthcare system.

Responsibilities:
  • Design 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).
Coaching & 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.
Required Skills & Qualifications:
  • 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).
Benefits:
  • Competitive salary: P60,000 - P100,000 depending on experience.
  • Performance-based incentives.
  • Professional development opportunities.
  • Flexible work schedule (if applicable).

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