
Revenue Cycle Operations Specialist
1 day ago
We are seeking an experienced Revenue Cycle Operations Specialist to develop and deliver training programs for accounting professionals transitioning into U.S. healthcare revenue cycle management.
About the RoleThe ideal candidate will have a strong background in medical billing, coding, claims processing, and financial revenue cycle operations within the U.S. healthcare system.
- 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.
The successful candidate will be responsible for:
- Teaching insurance claims processing, denials management, payment posting, and AR follow-up.
- Instructing on ICD-10, CPT, and HCPCS coding basics and their integration into RCM workflows.
- Explaining Medicare, Medicaid, and private insurance reimbursement policies for the U.S. market.
- Guiding learners in RCM performance metrics (Net Collection Rate, AR Days, First-Pass Resolution).
To be successful in this role, you will need:
- 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.
This role offers:
- Competitive salary: P60,000 - P100,000 depending on experience.
- Performance-based incentives.
- Professional development opportunities.
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