RCM Training Specialist

2 weeks ago

Porac, Philippines beBeeReimbursement Full time ₱60,000 - ₱100,000
About this Role

We are seeking a seasoned professional to develop and deliver training programs for accounting professionals transitioning into healthcare revenue cycle management.

Key Responsibilities:
  • Create tailored RCM training sessions for professionals with an accounting background.
  • Design live and virtual training modules covering medical billing, coding, claims processing, AR management, and compliance.
  • Develop educational materials, case studies, and practical exercises to enhance learning outcomes.
  • Utilize Learning Management Systems (LMS) and RCM software for hands-on training.
Essential Skills & Expertise:
  • Instruct on insurance claims processing, denials management, payment posting, and AR follow-up.
  • Teach ICD-10, CPT, and HCPCS coding fundamentals 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).
Training & Career Development:
  • 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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