
Healthcare Revenue Cycle Expert
2 days ago
We are seeking an experienced Revenue Cycle Management (RCM) 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.
Key Responsibilities:
- Design and Implement RCM Training Programs
- Conduct Live and Virtual Training Sessions
- Develop Training Materials and Practical Exercises
- Utilize Learning Management Systems and RCM Software
Technical Instruction:
- Teach Insurance Claims Processing, Denials Management, Payment Posting, and AR Follow-up
- Instruct on ICD-10, CPT, and HCPCS Coding Basics
- Explain Medicare, Medicaid, and Private Insurance Reimbursement Policies
- Guide Learners in RCM Performance Metrics
Career Development and Certification Preparation:
- Assist Trainees in Preparing for Industry Certifications
- Provide Ongoing Mentorship and Career Guidance
- Conduct Mock Audits, Real-World Case Studies, and Practice Claim Submissions
Process Improvement and Compliance:
- Ensure Training Covers HIPAA, Compliance Laws, Fraud Prevention, and Best Practices
- Stay Updated with CMS Regulations and Payer Policy Changes
- Recommend Workflow Optimizations for Reducing Claim Denials and Improving Cash Flow
Required Skills and Qualifications:
- Bachelor's Degree in Accounting, Finance, Healthcare Administration, or Business Management
- Industry Certification in RCM or Related Field
- 5+ Years of Experience in Medical Billing, Revenue Cycle Management, or Healthcare Finance
Benefits:
- Competitive Salary: P60,000 - P100,000 Depending on Experience
- Performance-Based Incentives
- Professional Development Opportunities
- Flexible Work Schedule
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