Revenue Cycle Operations Expert

7 hours ago

Caloocan City, National Capital Region, Philippines beBeeRevenueCycle Full time ₱60,000 - ₱100,000

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.

Key Responsibilities:

  • Design and implement customized 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 comprehensive training materials, case studies, and practical exercises to enhance learning outcomes.
  • Utilize Learning Management Systems (LMS) and RCM software for hands-on training.

Technical Instruction:

  • 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).

Coaching & Certification Preparation:

  • 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.

Requirements:

  • Bachelor's degree in Accounting, Finance, Healthcare Administration, Business Management, or related field.
  • 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 a unique opportunity to leverage your expertise in revenue cycle operations and share knowledge with others in the field.

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