Healthcare Training Specialist

2 days ago

Pasig, National Capital Region, Philippines beBeeTraining Full time ₱50,000
Job Overview

We are seeking a highly skilled Training Professional to join our team. This role will focus on designing and delivering comprehensive training programs for healthcare professionals in AR management.


Key Responsibilities
  • Training Design & Delivery
    • Develop and maintain curricula, training syllabi, and course modules covering U.S. health insurance, claims processing, denials, appeals, and RCM.
    • Create workflows for account navigation across billing systems (Epic, Athena) and tools such as Encoder Pro and CCI Edit.
    • Build denial management workflows for common issues (e.g., duplicate claims, timely filing, no prior authorization, medical necessity).
    • Develop guidelines for top U.S. payer policies (Aetna, BCBS, Humana, UHC, Cigna, etc.).
    • Conduct call and phone handling training for new and existing forensic billers.

  • Process Support & Collaboration
    • Participate in account implementations and go-live activities to ensure smooth process transitions.
    • Work with the Quality team to identify process improvement areas and develop training materials for claim edits, denials, systems, and client-driven updates.
    • Collaborate with operations managers, supervisors, and quality teams to resolve customer-impacting issues.
    • Assist in updating training materials and implementing enhancements to improve knowledge transfer.

  • Performance Monitoring & Reporting
    • Prepare and update weekly training performance and attendance decks.
    • Participate in regular training meetings with management to review progress and align goals.
    • Administer exercises and qualifying exams to assess learner readiness.

  • Compliance & Data Security
    • Safeguard Protected Health Information (PHI) and comply with HIPAA standards.
    • Adhere strictly to organizational security and information protection policies.
    • Limit PHI access to the minimum necessary for assigned duties.

    Requirements
    • A minimum of 1 year of experience in training and development (preferably in the healthcare industry).
    • At least 2 years of hands-on experience in medical billing, AR management, or denials management in the healthcare insurance industry (provider side preferred).
    • Strong knowledge of claim denials and U.S. payer processes.
    • Certifications such as CPB, CPC, CCS, or COC are an advantage.
    • Supervisory or leadership experience is preferred.
    • Proficiency in Microsoft Office and ability to multitask across multiple systems and monitors.
    • Excellent written and verbal communication skills, with strong interpersonal, presentation, and analytical abilities.
    • Proven ability to plan, prioritize, and stay composed under pressure.
    • Flexibility and adaptability to extended hours, shifting schedules, and evolving responsibilities.
    • Demonstrated ability to work independently while fostering collaboration in a team environment.
    • Strict adherence to HIPAA and organizational policies at all times.

This opportunity offers a competitive package, HMO on Day 1, and internal growth opportunities.

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