Senior Healthcare Revenue Cycle Training Specialist

1 day ago

Antipolo City, Calabarzon, Philippines beBeeTrainer Full time ₱60,000 - ₱100,000
Revenue Cycle Management Trainer Position

We are seeking an experienced Revenue Cycle Management Trainer 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, ensuring optimal knowledge transfer and skill development.
  • Conduct live and virtual training sessions covering medical billing, coding, claims processing, AR management, and compliance, utilizing industry-standard methodologies and best practices.
  • Develop comprehensive training materials, case studies, and practical exercises to enhance learning outcomes and improve retention rates.
  • Utilize Learning Management Systems (LMS) and RCM software for hands-on training experiences, enabling participants to apply theoretical concepts in real-world scenarios.
Technical Expertise
  • Teach insurance claims processing, denials management, payment posting, and AR follow-up, emphasizing accuracy, efficiency, and regulatory compliance.
  • Instruct on ICD-10, CPT, and HCPCS coding basics and their integration into RCM workflows, providing a solid foundation for further specialization.
  • Explain Medicare, Medicaid, and private insurance reimbursement policies for the U.S. market, highlighting key differences and implications for revenue cycle management.
  • Guide learners in RCM performance metrics (Net Collection Rate, AR Days, First-Pass Resolution), enabling them to measure and improve process effectiveness.
Coaching & Certification Support
  • Assist trainees in preparing for industry certifications (e.g., CRCR, CPB, CMRS, CHFP), offering guidance and resources to ensure successful exam preparation.
  • Provide ongoing mentorship and career guidance for job placement in revenue cycle roles, helping participants transition into leadership positions.
  • Conduct mock audits, real-world case studies, and practice claim submissions, simulating real-world challenges and fostering critical thinking and problem-solving skills.
Process Improvement & Compliance Focus
  • Ensure training covers HIPAA, compliance laws, fraud prevention, and best practices, maintaining the highest standards of data security and regulatory adherence.
  • Stay updated with CMS regulations, payer policy changes, and RCM industry trends, applying expert knowledge to inform training content and maximize participant benefit.
  • Recommend workflow optimizations for reducing claim denials and improving cash flow, leveraging expertise to drive business improvement and growth.

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