U.S. Healthcare Revenue Cycle Transformation Specialist

1 day ago

Angeles City, Central Luzon, Philippines beBeeRevenueCycle Full time ₱60,000 - ₱100,000
Revenue Cycle Management Professional

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.

Key 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 Expertise:
  • 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).
Professional Development & Coaching:
  • 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.

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